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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
619
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Irritable Bowel Syndrome I: Introduction01:17

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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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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Related Experiment Video

Updated: Feb 7, 2026

Small Bowel Transplantation In Mice
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Small bowel perforation by toothpick.

Carol Man Sze Lai1, Tun Hing Lui2

  • 1Department of Surgery, Prince of Wales Hospital, Hong Kong.

BMJ Case Reports
|July 14, 2018
PubMed
Summary

Ingesting a toothpick can lead to serious complications like bowel perforation. This case highlights a delayed diagnosis of toothpick-induced small bowel injury causing abscess and spinal infection.

Keywords:
foreign bodiesgastrointestinal surgeryintestinal perforationradiology

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Radiology

Background:

  • Toothpick ingestion is a rare cause of gastrointestinal (GI) injury.
  • Complications can arise if the foreign body migrates outside the GI tract.
  • Delayed presentations of toothpick-induced injuries are uncommon.

Observation:

  • A 51-year-old male presented with recurrent fever and loin pain.
  • Initial non-contrast CT scans were unremarkable.
  • A delayed presentation occurred 5 months later with abdominal wall abscess and back pain.

Findings:

  • Updated CT revealed a previously noted linear hyperdensity.
  • This hyperdensity was identified as a toothpick causing small bowel perforation.
  • Associated findings included abdominal wall abscess and spondylodiscitis.

Implications:

  • Delayed diagnosis of toothpick-induced bowel perforation can lead to severe complications.
  • Radiologists should be vigilant for subtle signs of foreign bodies on CT.
  • Prompt surgical intervention is crucial for managing toothpick-induced GI injuries.