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Toothpick obstruction of the ureter
1Department of Urology, Washington County Hospital, Hagerstown, Maryland.
The Journal of Urology
|January 1, 1988
Summary
A toothpick migrated from the cecum to the right ureter, causing an unusual obstruction. This rare case highlights the potential for foreign bodies to cause significant internal migration and complications.
Area of Science:
- Gastroenterology
- Urology
- Medical Case Reports
Background:
- Foreign body ingestion can lead to gastrointestinal complications.
- Intraluminal migration of ingested foreign bodies is rare but can cause serious issues.
- Ureteral obstruction typically results from stones, strictures, or external compression.
Observation:
- A patient presented with symptoms of ureteral obstruction.
- Imaging revealed a toothpick lodged in the right ureter.
- The toothpick's origin was traced back to the cecum.
Findings:
- The toothpick migrated from the cecum through the intestinal wall and into the right ureter.
- This resulted in a complete ureteral obstruction.
- The foreign body was successfully removed, and the obstruction resolved.
Implications:
- This case underscores the importance of considering unusual etiologies for ureteral obstruction.
- It highlights the potential for remote migration of ingested foreign bodies.
- Awareness of such rare presentations is crucial for accurate diagnosis and timely intervention in urology and gastroenterology.