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Toothpick injury mimicking acute cholecystitis
- Title
- Toothpick injury mimicking acute cholecystitis
- Authors
- Lee D.H.; Choi Y.H.
- Ewha Authors
- 최윤희; 이덕희
- SCOPUS Author ID
- 최윤희; 이덕희
- Issue Date
- 2019
- Journal Title
- Hong Kong Journal of Emergency Medicine
- ISSN
- 1024-9079
- Citation
- Hong Kong Journal of Emergency Medicine vol. 26, no. 2, pp. 127 - 129
- Keywords
- Foreign body ingestion; intestinal perforation; toothpick
- Publisher
- SAGE Publications Ltd
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Introduction: Accidental foreign bodies ingestion is common in emergency department. However, if the objects are sharp, the complication rate is higher. Toothpick can cause severe complications of gastrointestinal tract due to being long, sharp ends on both sides, slender, and resistant to digestion. Case presentation: A 64-year-old man presented to the emergency department with fever and right upper abdominal pain for 3 days. The physical examination revealed severe pain with rebound tenderness in the right upper abdominal quadrant and positive Murphy’s sign. The provisional diagnosis of acute cholecystitis was made. The contrast abdominal-pelvic computed tomography scan revealed linear-shaped lesion penetrating hepatic flexure of colon and proximal transverse colon. The patient showed deterioration of vital sign, and therefore, emergency laparotomy was performed. Colon perforation by wooden toothpick was diagnosed. Discussion and conclusion: Toothpick ingestion without awareness is rare but fatal, especially when physicians failed to suspect foreign body ingestion. We think of this as one of the differential diagnoses, so we use contrast computed tomography scan. © The Author(s) 2018.
- DOI
- 10.1177/1024907918761928
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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