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Pain in the Gut: An Intriguing Case of Toothpick Ingestion Causing Gastric Perforation.
Bathobakae, Lefika; Mahmoud, Anas; Wilkinson, Tyler; Melki, Gabriel; Cavanagh, Yana; Siau, Keith.
Afiliação
  • Bathobakae L; St. Joseph's University Medical Center, Paterson, NJ, USA.
  • Mahmoud A; St. Joseph's University Medical Center, Paterson, NJ, USA.
  • Wilkinson T; St. George's University, Grenada.
  • Melki G; St. Joseph's University Medical Center, Paterson, NJ, USA.
  • Cavanagh Y; St. Joseph's University Medical Center, Paterson, NJ, USA.
  • Siau K; Royal Cornwall Hospitals NHS Trust, Truro, UK.
J Investig Med High Impact Case Rep ; 11: 23247096231211056, 2023.
Article em En | MEDLINE | ID: mdl-37942559
Toothpick ingestion is a medical emergency requiring urgent intervention. Swallowed toothpicks can cause intestinal perforation, bleeding, or damage to the surrounding organs. Herein, we describe a unique case of a geriatric patient with a history of peptic ulcer disease who presented to the emergency department for the evaluation of abdominal pain and nausea. Gastric wall thickening concerning for a gastric neoplasm was observed on a computed tomography (CT) scan of the abdomen and pelvis. An esophagogastroduodenoscopy (EGD) revealed an embedded toothpick with a contained gastric perforation, and the foreign body was retrieved with a grasper device. Given the rare presentation, nonspecific symptoms, inability to recall, and often inconclusive imaging, a high index of suspicion is needed for early diagnosis and treatment of toothpick ingestion.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor Abdominal / Corpos Estranhos Limite: Aged / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor Abdominal / Corpos Estranhos Limite: Aged / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article