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Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick.
Narmeen Asif1, Salva Shariq1, Abdul Rehman Alvi1
1Aga Khan University Hospital, Karachi, Pakistan.
International Journal of Surgery Case Reports
|December 12, 2023
Summary
Toothpick ingestion can cause serious bowel perforation. Early diagnosis using CT scans and laparoscopy is crucial for timely treatment of this rare but dangerous condition.
Area of Science:
- Gastroenterology
- Surgical Emergencies
Background:
- Bowel perforation is a critical medical emergency.
- Sharp foreign objects, such as toothpicks, can cause intestinal impaction, obstruction, or perforation.
Observation:
- A 20-year-old male presented with acute abdominal pain and tenderness.
- Contrast-enhanced computed tomography (CECT) suggested small intestine inflammation due to a foreign object.
- Diagnostic laparoscopy revealed a hyperemic terminal ileum.
Findings:
- Ileal perforation occurred due to unnoticed toothpick ingestion.
- Foreign object perforations are diagnostically challenging and prone to misdiagnosis.
- CT scans are highly effective for detecting toothpicks; laparoscopy provides definitive diagnosis.
Implications:
- Prompt consideration of toothpick ingestion in acute abdominal cases is vital.
- Timely diagnosis and treatment can prevent life-threatening outcomes.
- Treatment strategies range from laparoscopic suturing to intestinal resection.
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