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Gastric penetration by an ingested toothpick successfully managed with computed tomography and endoscopy
Minoru Matsubara1, Shoji Hirasaki, Seiyuu Suzuki
1Second Department of Internal Medicine, Sumitomo Besshi Hospital, Niihama.
Internal Medicine (Tokyo, Japan)
|July 3, 2007
Summary
Ingesting a toothpick can be dangerous, leading to gastric wall penetration. Early detection with imaging and prompt endoscopic removal using a basket catheter is crucial for safe recovery.
Area of Science:
- Gastroenterology
- Medical Imaging
- Endoscopic Procedures
Background:
- Unintentional ingestion of foreign bodies, such as toothpicks, can cause significant gastrointestinal injury.
- Epigastric pain is a common symptom prompting medical evaluation for potential foreign body ingestion.
Observation:
- A 31-year-old female presented with epigastric pain following toothpick ingestion.
- Abdominal computed tomography (CT) revealed toothpick penetration of the gastric wall.
- Endoscopic examination identified the toothpick protruding from the prepyloric antrum.
Findings:
- The ingested toothpick was successfully removed endoscopically using a basket catheter without complications.
- CT imaging proved valuable in pinpointing the exact location of the toothpick's ends.
- Prompt diagnosis and intervention are essential for managing toothpick-induced gastric injuries.
Implications:
- This case highlights the potential dangers of toothpick ingestion and the importance of diagnostic imaging.
- Early confirmation of foreign body location via CT or ultrasonography facilitates timely endoscopic removal.
- Healthcare providers should consider toothpick ingestion in patients with unexplained epigastric pain.
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