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[Intestinal perforation caused by a toothpick]

D Cossavella1, G Clerico, O Paino

  • 1Divisione di Chirurgia Generale, Ospedale di Ivrea, Torino, Regione Piemonte, Azienda USL 9.

Minerva Chirurgica
|June 9, 1998
PubMed
Summary
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Accidentally swallowing toothpicks can cause severe intestinal injuries, including perforation. Prompt diagnosis through careful patient history is crucial to prevent fatal complications from these foreign body ingestions.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Toothpick ingestion is a rare but serious cause of intestinal injury.
  • Literature documents severe complications including cardiovascular damage, lung injury, and fatal sepsis.

Observation:

  • Two cases of intestinal perforation due to accidental toothpick swallowing are presented.
  • One patient, aged 59, presented with symptoms of acute abdomen; the other, aged 27, exhibited signs of acute appendicitis.

Findings:

  • Intestinal perforation by a toothpick can mimic common abdominal pathologies.
  • Delayed diagnosis of foreign body ingestion can lead to severe outcomes.

Implications:

  • Highlights the critical role of thorough patient history (anamnesis) in diagnosing toothpick-induced intestinal injuries.

Related Experiment Videos

  • Emphasizes the need for clinical vigilance in identifying foreign body ingestion, even when symptoms are atypical.