Toothpick injury mimicking acute cholecystitis
- 주제(키워드) Foreign body ingestion , intestinal perforation , toothpick
- 등재 SCIE, SCOPUS
- OA유형 gold
- 발행기관 SAGE Publications Ltd
- 발행년도 2019
- URI http://www.dcollection.net/handler/ewha/000000160485
- 본문언어 영어
- Published As http://dx.doi.org/10.1177/1024907918761928
초록/요약
Introduction: Accidental foreign bodies ingestion is common in emergency department. However, if the objects are sharp, the complication rate is higher. Toothpick can cause severe complications of gastrointestinal tract due to being long, sharp ends on both sides, slender, and resistant to digestion. Case presentation: A 64-year-old man presented to the emergency department with fever and right upper abdominal pain for 3 days. The physical examination revealed severe pain with rebound tenderness in the right upper abdominal quadrant and positive Murphy’s sign. The provisional diagnosis of acute cholecystitis was made. The contrast abdominal-pelvic computed tomography scan revealed linear-shaped lesion penetrating hepatic flexure of colon and proximal transverse colon. The patient showed deterioration of vital sign, and therefore, emergency laparotomy was performed. Colon perforation by wooden toothpick was diagnosed. Discussion and conclusion: Toothpick ingestion without awareness is rare but fatal, especially when physicians failed to suspect foreign body ingestion. We think of this as one of the differential diagnoses, so we use contrast computed tomography scan. © The Author(s) 2018.
more