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Toothpick perforates small bowel-mimicking diverticulitis.
Ahmed A Fallatah1,2, Hassan Mashbari3, Hatoon Daghestani1
1Trauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, P.O Box 2925 Riyadh 11461, Saudi Arabia.
Journal of Surgical Case Reports
|September 20, 2023
Summary
Bowel perforation is a medical emergency. A rare case highlights how ingested foreign bodies, like a wooden toothpick, can cause ileal perforation, even when the patient has no memory of ingestion.
Area of Science:
- Gastroenterology
- Radiology
- Emergency Medicine
Background:
- Bowel perforation is a critical condition requiring prompt diagnosis and intervention.
- Common causes include obstruction, inflammation, ischemia, and malignancy.
- Rarely, foreign bodies can lead to bowel perforation, necessitating thorough patient history and imaging review.
Observation:
- A patient presented with ileal perforation.
- CT imaging suggested a wooden toothpick as the causative agent.
- The patient had no recollection of ingesting the foreign body.
Findings:
- Ingested wooden toothpick causing ileal perforation.
- CT scan successfully identified the foreign body.
- Diagnostic challenge due to lack of patient recall.
Implications:
- Highlights the importance of considering foreign bodies in unusual bowel perforation cases.
- Emphasizes the diagnostic value of CT imaging in identifying radiopaque or subtle foreign objects.
- Underscores the need for detailed investigation even with limited patient history in emergency presentations.
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