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Ingested toothpick retrieved through a lumbar approach: a case report.

Chun-Run Ling¹, Yi Chen², Chun-Gang He³

¹Department of General and Pediatric Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, 6 Tao Yuan Road, Nanning, 530021, Guangxi Zhuang Autonomous Region, China.

|May 14, 2020

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This summary is machine-generated.

Ingested toothpicks can cause serious issues. A lumbar surgical approach under local anesthesia successfully removed a toothpick causing flank pain, offering a less invasive treatment option.

Area of Science:

Gastroenterology
Surgical Innovation
Minimally Invasive Procedures

Background:

Ingested foreign bodies, such as toothpicks, can lead to severe gastrointestinal complications requiring timely intervention.
Surgical retrieval of ingested toothpicks typically involves exploratory laparotomy or laparoscopy under general anesthesia.
The lumbar surgical approach for toothpick retrieval is rarely reported in medical literature.

Observation:

A 57-year-old male presented with persistent right flank pain due to an ingested toothpick.
Imaging studies, including abdominal CT and ultrasound, localized the toothpick in the right flank near the body surface.
The patient had a history of accidental toothpick ingestion.

Findings:

A toothpick was successfully retrieved from the right flank using a lumbar surgical approach.

Keywords:

Case report Gastrointestinal perforation Ingested foreign body Local anesthesia Toothpick

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The procedure was performed under local anesthesia, avoiding general anesthesia.

The patient experienced an uneventful recovery and was discharged on the third postoperative day.

Implications:

A lumbar approach under local anesthesia is a viable and considerable option for non-acute, superficial perforations caused by foreign bodies.
This minimally invasive technique may offer a less complex alternative to traditional surgical methods for specific cases of ingested toothpick complications.
Further research into the efficacy and applicability of the lumbar approach for similar presentations is warranted.