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Endoscopic removal of a foreign body perforating the duodenum
Canadian Medical Association Journal
|January 22, 1977
Summary
Ingested foreign bodies can perforate the intestine, typically requiring surgery. In a unique case, a toothpick caused duodenal perforation and delayed upper gastrointestinal bleeding, successfully treated with operative endoscopy.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Background:
- Intestinal perforation from ingested foreign bodies commonly leads to peritonitis or abscesses, necessitating surgical intervention.
- Toothpick ingestion is a rare but serious cause of gastrointestinal perforation.
Observation:
- A patient presented with duodenal perforation caused by an ingested toothpick.
- Upper gastrointestinal hemorrhage manifested three months after the initial perforation event.
Findings:
- Operative endoscopy was utilized for both diagnosis and management of the duodenal perforation and subsequent hemorrhage.
- This case highlights a delayed complication of foreign body perforation.
Implications:
- Operative endoscopy offers a minimally invasive approach for diagnosing and treating complications arising from intestinal foreign bodies.
- Early recognition and endoscopic intervention can potentially avoid more extensive surgical procedures for foreign body-related gastrointestinal issues.