Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion
Identifieur interne : 000205 ( Istex/Corpus ); précédent : 000204; suivant : 000206Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion
Auteurs : David Mark ; Kathryn Ferris ; Gareth Martel ; Keith MulhollandSource :
- BMJ Case Reports [ 1757-790X ] ; 2013-08-09.
English descriptors
- KwdEn :
- Abdominal aortic aneurysm, Abdominal pain, Abnormal segment, Adjacent loop, Aneurysm, Bowel, Bowel habit, Bowel loop, Bowel wall, Case report, Common presentation, Dental plates, Denture, Distal ileum, Emergency department, Foreign bodies, Foreign body, Foreign body ingestion, Foreign objects, Further permission, Greater risk, High attenuation focus, Ileum, Ingestion, Internal injury, Ischaemic bowel, Laparotomy, Localised peritonism, Maximally tender, Mcburneys point, Month period, Palatal, Palatal sensation, Perforation, Risk factors, Sharp points, Small bowel, Sudden onset, Surg, Toothpick, Toothpick ingestion, Toothpick injury, Toothpick perforation, Wooden toothpick.
- Teeft :
- Abdominal aortic aneurysm, Abdominal pain, Abnormal segment, Adjacent loop, Aneurysm, Bowel, Bowel habit, Bowel loop, Bowel wall, Case report, Common presentation, Dental plates, Denture, Distal ileum, Emergency department, Foreign bodies, Foreign body, Foreign body ingestion, Foreign objects, Further permission, Greater risk, High attenuation focus, Ileum, Ingestion, Internal injury, Ischaemic bowel, Laparotomy, Localised peritonism, Maximally tender, Mcburneys point, Month period, Palatal, Palatal sensation, Perforation, Risk factors, Sharp points, Small bowel, Sudden onset, Surg, Toothpick, Toothpick ingestion, Toothpick injury, Toothpick perforation, Wooden toothpick.
Abstract
A 77-year-old edentulous man presented to the accident and emergency department with a sudden onset of sharp right-sided abdominal pain. The patient reported a change in his bowel habit with constipation over a 6 month period but did not report any significant choking event or ingestion of a foreign body in the preceding months. On examination the patient was maximally tender with guarding over McBurneys point. CT scan showed an abnormal segment of distal ileum with a 3 cm high attenuation focus which had penetrated the bowel wall. At laparotomy the patient was found to have a perforation of his distal ileum caused by an ingested toothpick. Patients wearing dental plates or dentures are at higher risk of toothpick ingestion due to impaired palatal sensation. CT scanning, in the appropriate setting, may aid diagnosis and lower operator risk of sharp related injury at the time of operation.
Url:
DOI: 10.1136/bcr-2013-009869
Links to Exploration step
ISTEX:398C1C3678F3F0A5E356925BF5BB5AEF9253DBFBLe document en format XML
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sort="Mulholland, Keith" uniqKey="Mulholland K" first="Keith" last="Mulholland">Keith Mulholland</name><affiliation><mods:affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:398C1C3678F3F0A5E356925BF5BB5AEF9253DBFB</idno><date when="2013" year="2013">2013</date><idno type="doi">10.1136/bcr-2013-009869</idno><idno type="url">https://api.istex.fr/document/398C1C3678F3F0A5E356925BF5BB5AEF9253DBFB/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000205</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000205</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion</title><author><name sortKey="Mark, David" sort="Mark, David" uniqKey="Mark D" first="David" last="Mark">David 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The patient reported a change in his bowel habit with constipation over a 6 month period but did not report any significant choking event or ingestion of a foreign body in the preceding months. On examination the patient was maximally tender with guarding over McBurneys point. CT scan showed an abnormal segment of distal ileum with a 3 cm high attenuation focus which had penetrated the bowel wall. At laparotomy the patient was found to have a perforation of his distal ileum caused by an ingested toothpick. Patients wearing dental plates or dentures are at higher risk of toothpick ingestion due to impaired palatal sensation. CT scanning, in the appropriate setting, may aid diagnosis and lower operator risk of sharp related injury at the time of operation.</div></front></TEI><istex><corpusName>bmj</corpusName><keywords><teeft><json:string>toothpick</json:string><json:string>perforation</json:string><json:string>bowel</json:string><json:string>ingestion</json:string><json:string>foreign body</json:string><json:string>toothpick ingestion</json:string><json:string>palatal</json:string><json:string>surg</json:string><json:string>distal ileum</json:string><json:string>laparotomy</json:string><json:string>emergency department</json:string><json:string>aneurysm</json:string><json:string>denture</json:string><json:string>palatal sensation</json:string><json:string>foreign body ingestion</json:string><json:string>internal injury</json:string><json:string>greater risk</json:string><json:string>mcburneys point</json:string><json:string>sudden onset</json:string><json:string>risk factors</json:string><json:string>small bowel</json:string><json:string>further permission</json:string><json:string>high attenuation focus</json:string><json:string>bowel wall</json:string><json:string>sharp points</json:string><json:string>foreign objects</json:string><json:string>maximally tender</json:string><json:string>foreign bodies</json:string><json:string>dental plates</json:string><json:string>localised peritonism</json:string><json:string>bowel habit</json:string><json:string>abdominal aortic aneurysm</json:string><json:string>abdominal pain</json:string><json:string>ischaemic bowel</json:string><json:string>adjacent loop</json:string><json:string>abnormal segment</json:string><json:string>toothpick injury</json:string><json:string>bowel loop</json:string><json:string>month period</json:string><json:string>wooden toothpick</json:string><json:string>toothpick perforation</json:string><json:string>case report</json:string><json:string>common presentation</json:string><json:string>ileum</json:string></teeft></keywords><author><json:item><name>David Mark</name><affiliations><json:string>Department of General Surgery, Ulster Hospital, Belfast, UK</json:string></affiliations></json:item><json:item><name>Kathryn Ferris</name><affiliations><json:string>Department of General Surgery, Ulster Hospital, Belfast, UK</json:string></affiliations></json:item><json:item><name>Gareth Martel</name><affiliations><json:string>Department of General Surgery, Ulster Hospital, Belfast, UK</json:string></affiliations></json:item><json:item><name>Keith Mulholland</name><affiliations><json:string>Department of General Surgery, Ulster Hospital, Belfast, UK</json:string></affiliations></json:item></author><articleId><json:string>bcr-2013-009869</json:string></articleId><arkIstex>ark:/67375/NVC-0GP99WTC-K</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>case-report</json:string></originalGenre><abstract>A 77-year-old edentulous man presented to the accident and emergency department with a sudden onset of sharp right-sided abdominal pain. 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The patient reported a change in his bowel habit with constipation over a 6 month period but did not report any significant choking event or ingestion of a foreign body in the preceding months. On examination the patient was maximally tender with guarding over McBurneys point. CT scan showed an abnormal segment of distal ileum with a 3 cm high attenuation focus which had penetrated the bowel wall. At laparotomy the patient was found to have a perforation of his distal ileum caused by an ingested toothpick. Patients wearing dental plates or dentures are at higher risk of toothpick ingestion due to impaired palatal sensation. CT scanning, in the appropriate setting, may aid diagnosis and lower operator risk of sharp related injury at the time of operation.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>case-report-type</head><item><term>Reminder of important clinical lesson</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>search-fields</head><item><term>Male</term></item><item><term>71-80 years</term></item><item><term>White</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Diagnostics</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Gastrointestinal system</term></item></list></keywords></textClass><textClass><keywords scheme="Journal 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when="2013-08-09">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/398C1C3678F3F0A5E356925BF5BB5AEF9253DBFB/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="case-report"><front><journal-meta><journal-id journal-id-type="hwp">casereports</journal-id><journal-id journal-id-type="publisher-id">bmjcasereports</journal-id><journal-title>BMJ Case Reports</journal-title><abbrev-journal-title abbrev-type="publisher">BMJ Case Reports</abbrev-journal-title><issn pub-type="epub">1757-790X</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">bcr-2013-009869</article-id><article-id pub-id-type="doi">10.1136/bcr-2013-009869</article-id><article-id pub-id-type="other">casereports;2013/aug09_1/bcr2013009869</article-id><article-id pub-id-type="other">casereports;bcr-2013-009869</article-id><article-id pub-id-type="other">aug09_1</article-id><article-id pub-id-type="other">bcr-2013-009869</article-id><article-id pub-id-type="other">bcr-2013-009869</article-id><article-categories><subj-group subj-group-type="case-report-type"><subject>Reminder of important clinical lesson</subject></subj-group><subj-group subj-group-type="search-fields"><subject content-type="sex">Male</subject><subject content-type="age">71-80 years</subject><subject content-type="ethnicity">White</subject><subject content-type="region">United Kingdom</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Diagnostics</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Gastrointestinal system</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Gastroenterology</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Surgery</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Small intestine</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Reminder of important clinical lesson</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>General surgery</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Radiology (diagnostics)</subject></subj-group><series-title>CASE REPORT</series-title></article-categories><title-group><article-title>Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mark</surname><given-names>David</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ferris</surname><given-names>Kathryn</given-names></name></contrib><contrib contrib-type="author"><name><surname>Martel</surname><given-names>Gareth</given-names></name></contrib><contrib contrib-type="author"><name><surname>Mulholland</surname><given-names>Keith</given-names></name></contrib></contrib-group><aff id="af1"><label></label><addr-line>Department of General Surgery</addr-line>, <institution>Ulster Hospital</institution>, <addr-line>Belfast</addr-line>, <country>UK</country></aff><author-notes><corresp><label>Correspondence to</label> David Mark, <email>David-mark@hotmail.co.uk</email></corresp></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub-original"><day>9</day><month>8</month><year>2013</year></pub-date><volume>2013</volume><volume-id pub-id-type="other">2013</volume-id><volume-id pub-id-type="other">2013</volume-id><elocation-id>bcr2013009869</elocation-id><permissions><copyright-statement>2013 BMJ Publishing Group Ltd</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="casereports-2013-bcr-2013-009869.pdf"></self-uri><abstract><p>A 77-year-old edentulous man presented to the accident and emergency department with a sudden onset of sharp right-sided abdominal pain. The patient reported a change in his bowel habit with constipation over a 6 month period but did not report any significant choking event or ingestion of a foreign body in the preceding months. On examination the patient was maximally tender with guarding over McBurneys point. CT scan showed an abnormal segment of distal ileum with a 3 cm high attenuation focus which had penetrated the bowel wall. At laparotomy the patient was found to have a perforation of his distal ileum caused by an ingested toothpick. Patients wearing dental plates or dentures are at higher risk of toothpick ingestion due to impaired palatal sensation. CT scanning, in the appropriate setting, may aid diagnosis and lower operator risk of sharp related injury at the time of operation.</p></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion</title><partName>CASE REPORT</partName></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion</title><partName>CASE REPORT</partName></titleInfo><name type="personal"><namePart type="given">David</namePart><namePart type="family">Mark</namePart><affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kathryn</namePart><namePart type="family">Ferris</namePart><affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gareth</namePart><namePart type="family">Martel</namePart><affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Keith</namePart><namePart type="family">Mulholland</namePart><affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="case-report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2013-08-09</dateIssued><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>A 77-year-old edentulous man presented to the accident and emergency department with a sudden onset of sharp right-sided abdominal pain. The patient reported a change in his bowel habit with constipation over a 6 month period but did not report any significant choking event or ingestion of a foreign body in the preceding months. On examination the patient was maximally tender with guarding over McBurneys point. CT scan showed an abnormal segment of distal ileum with a 3 cm high attenuation focus which had penetrated the bowel wall. At laparotomy the patient was found to have a perforation of his distal ileum caused by an ingested toothpick. Patients wearing dental plates or dentures are at higher risk of toothpick ingestion due to impaired palatal sensation. CT scanning, in the appropriate setting, may aid diagnosis and lower operator risk of sharp related injury at the time of operation.</abstract><relatedItem type="host"><titleInfo><title>BMJ Case Reports</title></titleInfo><titleInfo type="abbreviated"><title>BMJ Case Reports</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>case-report-type</genre><topic>Reminder of important clinical lesson</topic></subject><subject><genre>search-fields</genre><topic>Male</topic><topic>71-80 years</topic><topic>White</topic><geographic>United Kingdom</geographic></subject><subject><genre>hwp-journal-coll</genre><topic>Diagnostics</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Gastrointestinal system</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Gastroenterology</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Surgery</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Small intestine</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Reminder of important clinical lesson</topic></subject><subject><genre>hwp-journal-coll</genre><topic>General surgery</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Radiology (diagnostics)</topic></subject><identifier type="eISSN">1757-790X</identifier><identifier type="PublisherID">bmjcasereports</identifier><identifier type="PublisherID-hwp">casereports</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>2013</number></detail></part></relatedItem><identifier type="istex">398C1C3678F3F0A5E356925BF5BB5AEF9253DBFB</identifier><identifier type="ark">ark:/67375/NVC-0GP99WTC-K</identifier><identifier type="DOI">10.1136/bcr-2013-009869</identifier><identifier type="href">casereports-2013-bcr-2013-009869.pdf</identifier><identifier type="ArticleID">bcr-2013-009869</identifier><identifier type="local">casereports;2013/aug09_1/bcr2013009869</identifier><accessCondition type="use and reproduction" contentType="copyright">2013 BMJ Publishing Group Ltd</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</recordContentSource><recordOrigin>2013 BMJ Publishing Group Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/398C1C3678F3F0A5E356925BF5BB5AEF9253DBFB/metadata/json</uri></json:item></metadata><annexes><json:item><extension>jpeg</extension><original>true</original><mimetype>image/jpeg</mimetype><uri>https://api.istex.fr/document/398C1C3678F3F0A5E356925BF5BB5AEF9253DBFB/annexes/jpeg</uri></json:item></annexes><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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