Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion
Identifieur interne : 000205 ( Istex/Curation ); précédent : 000204; suivant : 000206Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion
Auteurs : David Mark [Royaume-Uni] ; Kathryn Ferris [Royaume-Uni] ; Gareth Martel [Royaume-Uni] ; Keith Mulholland [Royaume-Uni]Source :
- 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
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Belfast</wicri:regionArea></affiliation></author><author><name sortKey="Martel, Gareth" sort="Martel, Gareth" uniqKey="Martel G" first="Gareth" last="Martel">Gareth Martel</name><affiliation wicri:level="1"><mods:affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of General Surgery, Ulster Hospital, Belfast</wicri:regionArea></affiliation></author><author><name sortKey="Mulholland, Keith" sort="Mulholland, Keith" uniqKey="Mulholland K" first="Keith" last="Mulholland">Keith Mulholland</name><affiliation wicri:level="1"><mods:affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of General Surgery, Ulster Hospital, Belfast</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno 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wall</term><term>Case report</term><term>Common presentation</term><term>Dental plates</term><term>Denture</term><term>Distal ileum</term><term>Emergency department</term><term>Foreign bodies</term><term>Foreign body</term><term>Foreign body ingestion</term><term>Foreign objects</term><term>Further permission</term><term>Greater risk</term><term>High attenuation focus</term><term>Ileum</term><term>Ingestion</term><term>Internal injury</term><term>Ischaemic bowel</term><term>Laparotomy</term><term>Localised peritonism</term><term>Maximally tender</term><term>Mcburneys point</term><term>Month period</term><term>Palatal</term><term>Palatal sensation</term><term>Perforation</term><term>Risk factors</term><term>Sharp points</term><term>Small bowel</term><term>Sudden onset</term><term>Surg</term><term>Toothpick</term><term>Toothpick ingestion</term><term>Toothpick injury</term><term>Toothpick perforation</term><term>Wooden toothpick</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abdominal aortic aneurysm</term><term>Abdominal pain</term><term>Abnormal segment</term><term>Adjacent loop</term><term>Aneurysm</term><term>Bowel</term><term>Bowel habit</term><term>Bowel loop</term><term>Bowel wall</term><term>Case report</term><term>Common presentation</term><term>Dental plates</term><term>Denture</term><term>Distal ileum</term><term>Emergency department</term><term>Foreign bodies</term><term>Foreign body</term><term>Foreign body ingestion</term><term>Foreign objects</term><term>Further permission</term><term>Greater risk</term><term>High attenuation focus</term><term>Ileum</term><term>Ingestion</term><term>Internal injury</term><term>Ischaemic bowel</term><term>Laparotomy</term><term>Localised peritonism</term><term>Maximally tender</term><term>Mcburneys point</term><term>Month period</term><term>Palatal</term><term>Palatal sensation</term><term>Perforation</term><term>Risk factors</term><term>Sharp points</term><term>Small bowel</term><term>Sudden onset</term><term>Surg</term><term>Toothpick</term><term>Toothpick ingestion</term><term>Toothpick injury</term><term>Toothpick perforation</term><term>Wooden toothpick</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="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.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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