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Cecum and appendix perforation due to inadvertent ingestion of two toothpicks

Bowel perforation due to inadvertent ingestion of foreign objects is, fortunately, a rare event. However, it can lead to deadly complications when it occurs. Thin, sharp and pointed objects like toothpicks are more likely to pierce the bowel wall. Diagnosing toothpick ingestion and perforation is di...

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Autores principales: Aguilar Ayala, Bernabé Esteban, Cazares Cadena, Baiter Renán, Molina, Gabriel A, Constante Ruiz, Jonathan Eduardo, Salazar Parada, Juan Fernando, Solórzano García, Onofre Jacinto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457067/
https://www.ncbi.nlm.nih.gov/pubmed/30997012
http://dx.doi.org/10.1093/jscr/rjz106
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author Aguilar Ayala, Bernabé Esteban
Cazares Cadena, Baiter Renán
Molina, Gabriel A
Constante Ruiz, Jonathan Eduardo
Salazar Parada, Juan Fernando
Solórzano García, Onofre Jacinto
author_facet Aguilar Ayala, Bernabé Esteban
Cazares Cadena, Baiter Renán
Molina, Gabriel A
Constante Ruiz, Jonathan Eduardo
Salazar Parada, Juan Fernando
Solórzano García, Onofre Jacinto
author_sort Aguilar Ayala, Bernabé Esteban
collection PubMed
description Bowel perforation due to inadvertent ingestion of foreign objects is, fortunately, a rare event. However, it can lead to deadly complications when it occurs. Thin, sharp and pointed objects like toothpicks are more likely to pierce the bowel wall. Diagnosing toothpick ingestion and perforation is difficult since most patients do not recall swallowing the toothpick, symptoms and physical examinations are nonspecific, the symptoms can resemble many abdominal pathologies, and since a toothpick has a radiolucent nature that makes it difficult to detect through X-ray imaging. Due to this, most of the cases are identified during the transoperative period. We present the case of a 27-year-old male who presented with symptoms clinically indistinguishable from acute appendicitis. During surgery, two toothpicks were discovered that compromised the cecum and the appendix. After successful removal of the foreign objects, the patient underwent a full recovery.
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spelling pubmed-64570672019-04-17 Cecum and appendix perforation due to inadvertent ingestion of two toothpicks Aguilar Ayala, Bernabé Esteban Cazares Cadena, Baiter Renán Molina, Gabriel A Constante Ruiz, Jonathan Eduardo Salazar Parada, Juan Fernando Solórzano García, Onofre Jacinto J Surg Case Rep Case Report Bowel perforation due to inadvertent ingestion of foreign objects is, fortunately, a rare event. However, it can lead to deadly complications when it occurs. Thin, sharp and pointed objects like toothpicks are more likely to pierce the bowel wall. Diagnosing toothpick ingestion and perforation is difficult since most patients do not recall swallowing the toothpick, symptoms and physical examinations are nonspecific, the symptoms can resemble many abdominal pathologies, and since a toothpick has a radiolucent nature that makes it difficult to detect through X-ray imaging. Due to this, most of the cases are identified during the transoperative period. We present the case of a 27-year-old male who presented with symptoms clinically indistinguishable from acute appendicitis. During surgery, two toothpicks were discovered that compromised the cecum and the appendix. After successful removal of the foreign objects, the patient underwent a full recovery. Oxford University Press 2019-04-10 /pmc/articles/PMC6457067/ /pubmed/30997012 http://dx.doi.org/10.1093/jscr/rjz106 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Aguilar Ayala, Bernabé Esteban
Cazares Cadena, Baiter Renán
Molina, Gabriel A
Constante Ruiz, Jonathan Eduardo
Salazar Parada, Juan Fernando
Solórzano García, Onofre Jacinto
Cecum and appendix perforation due to inadvertent ingestion of two toothpicks
title Cecum and appendix perforation due to inadvertent ingestion of two toothpicks
title_full Cecum and appendix perforation due to inadvertent ingestion of two toothpicks
title_fullStr Cecum and appendix perforation due to inadvertent ingestion of two toothpicks
title_full_unstemmed Cecum and appendix perforation due to inadvertent ingestion of two toothpicks
title_short Cecum and appendix perforation due to inadvertent ingestion of two toothpicks
title_sort cecum and appendix perforation due to inadvertent ingestion of two toothpicks
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457067/
https://www.ncbi.nlm.nih.gov/pubmed/30997012
http://dx.doi.org/10.1093/jscr/rjz106
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