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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Mar 2, 2026

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Toothpick impaction in a sigmoid diverticulum.

Shanesh Kumar1, Ramin Mehdipour2, Asiri Arachchi3

  • 1Surgery, Eastern Health, Box Hill, Victoria, Australia.

BMJ Case Reports
|May 14, 2017
PubMed
Summary
This summary is machine-generated.

A perforated sigmoid diverticulum caused by toothpick impaction is rare. High suspicion and imaging like CT scans are crucial for diagnosing toothpick ingestion to guide patient management.

Keywords:
gastrointestinal surgerygeneral surgery

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Diverticulitis is a common condition, often presenting with abdominal pain.
  • Perforation is a serious complication of diverticulitis.

Observation:

  • A 70-year-old woman experienced recurrent left lower quadrant pain.
  • Intraoperative findings revealed a perforated sigmoid diverticulum attributed to toothpick impaction.

Findings:

  • Toothpick impaction is an uncommon cause of sigmoid diverticulum perforation.
  • Diagnosis requires a high index of suspicion.

Implications:

  • Preoperative investigations, including endoscopy and CT scans, despite limitations, aid in diagnosis.
  • Accurate diagnosis of toothpick ingestion optimizes management strategies for gastrointestinal complications.