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Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports.

Abstract Foreign-body ingestion is a common phenomenon and foreign bodies are mostly excreted in stool. Once sharp bodies are ingested without being realized, perforation of intestine is possible and misdiagnosis may be made. We report 2 toothpick ingestion cases that were both diagnosed accurately.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29384850
OWN - NLM
STAT- MEDLINE
DCOM- 20180213
LR  - 20180213
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 5
DP  - 2018 Feb
TI  - Successful diagnosis and treatment of ingested wooden toothpicks: Two case
      reports.
PG  - e9710
LID - 10.1097/MD.0000000000009710 [doi]
AB  - RATIONALE: Foreign-body ingestion is a common phenomenon and foreign bodies are
      mostly excreted in stool. Once sharp bodies are ingested without being realized, 
      perforation of intestine is possible and misdiagnosis may be made. We report 2
      toothpick ingestion cases that were both diagnosed accurately. PATIENT CONCERNS: 
      We present 2 cases of middle-aged persons who suffered from abdominal pain. They 
      did not realize and provide any information of having the history of swallowing
      foreign bodies. DIAGNOSES: No serious problem was discovered in the examination
      and blood test. There were somewhere abnormal in computed tomography (CT) images 
      and ultrasound (US). Then a toothpick was found penetrating the wall of intestine
      into the adjacent viscera in the laparotomy. INTERVENTIONS: Both patients in the 
      2 cases were undergone operation to remove the toothpicks. OUTCOMES: The 2 cases'
      prognoses were good. LESSONS: When accepting patients with abdominal pain,
      suitable examining means and careful observation should be given to find easily
      ignored lesions. CT is recommended in the diagnostic process of swallowed foreign
      mass. When there is a vague place, US can be used for further diagnose.
FAU - Lin, Nan
AU  - Lin N
AD  - Department of General Surgery, Dongfang Hospital, Xiamen University.
AD  - Department of General Surgery, Fuzhou General Hospital.
FAU - Lin, Li
AU  - Lin L
AD  - Clinical Institute of Fuzhou General Hospital, Fujian Medical University, Fuzhou,
      Fujian, China.
FAU - Wu, Weihang
AU  - Wu W
AD  - Department of General Surgery, Dongfang Hospital, Xiamen University.
AD  - Department of General Surgery, Fuzhou General Hospital.
FAU - Yang, Weijin
AU  - Yang W
AD  - Department of General Surgery, Dongfang Hospital, Xiamen University.
AD  - Department of General Surgery, Fuzhou General Hospital.
FAU - Cai, Zhicong
AU  - Cai Z
AD  - Clinical Institute of Fuzhou General Hospital, Fujian Medical University, Fuzhou,
      Fujian, China.
FAU - Hong, Jie
AU  - Hong J
AD  - Clinical Institute of Fuzhou General Hospital, Fujian Medical University, Fuzhou,
      Fujian, China.
FAU - Wang, Yu
AU  - Wang Y
AD  - Department of General Surgery, Dongfang Hospital, Xiamen University.
AD  - Department of General Surgery, Fuzhou General Hospital.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Abdominal Pain/*diagnostic imaging/etiology/*surgery
MH  - Adult
MH  - Diagnosis, Differential
MH  - Diagnostic Errors
MH  - Female
MH  - Foreign Bodies/complications/*diagnostic imaging/*surgery
MH  - Humans
MH  - Intestinal Perforation/*diagnostic imaging/etiology/*surgery
MH  - Laparotomy
MH  - Male
MH  - Middle Aged
MH  - Tomography, X-Ray Computed
MH  - Ultrasonography
EDAT- 2018/02/01 06:00
MHDA- 2018/02/14 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/14 06:00 [medline]
AID - 10.1097/MD.0000000000009710 [doi]
AID - 00005792-201802020-00012 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Feb;97(5):e9710. doi: 10.1097/MD.0000000000009710.