Successful Laparoscopic Removal of an Ingested Toothbrush
Identifieur interne : 000569 ( Pmc/Checkpoint ); précédent : 000568; suivant : 000570Successful Laparoscopic Removal of an Ingested Toothbrush
Auteurs : Karim Jamal ; Shalin Shaunak ; Sarandeep Kalsi ; Dhiren NehraSource :
- Journal of Surgical Technique and Case Report [ 2006-8808 ] ; 2013.
Abstract
Most ingested foreign bodies will pass through the gastrointestinal tract without any problems. On the other hand long, slender objects such as a toothbrush will rarely be able to negotiate the angulated and fixed retroperitoneal duodenal loop. Spontaneous toothbrush passage has never been described and therefore endoscopic or surgical removal is always required. Here we describe an asymptomatic young female presenting to out-patient clinic with a history of unintentional toothbrush ingestion 4 years prior. Endoscopic removal was unsuccessful because the toothbrush was partially embedded in to the gastric mucosa. We describe the second case to date of laparoscopic removal of a toothbrush via a gastrotomy with subsequent intra-corporeal repair of the defect.
Url:
DOI: 10.4103/2006-8808.128751
PubMed: 24741430
PubMed Central: 3977335
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<front><div type="abstract" xml:lang="en"><p>Most ingested foreign bodies will pass through the gastrointestinal tract without any problems. On the other hand long, slender objects such as a toothbrush will rarely be able to negotiate the angulated and fixed retroperitoneal duodenal loop. Spontaneous toothbrush passage has never been described and therefore endoscopic or surgical removal is always required. Here we describe an asymptomatic young female presenting to out-patient clinic with a history of unintentional toothbrush ingestion 4 years prior. Endoscopic removal was unsuccessful because the toothbrush was partially embedded in to the gastric mucosa. We describe the second case to date of laparoscopic removal of a toothbrush via a gastrotomy with subsequent intra-corporeal repair of the defect.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Surg Tech Case Rep</journal-id>
<journal-id journal-id-type="iso-abbrev">J Surg Tech Case Rep</journal-id>
<journal-id journal-id-type="publisher-id">JSTCR</journal-id>
<journal-title-group><journal-title>Journal of Surgical Technique and Case Report</journal-title>
</journal-title-group>
<issn pub-type="ppub">2006-8808</issn>
<issn pub-type="epub">0976-2825</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24741430</article-id>
<article-id pub-id-type="pmc">3977335</article-id>
<article-id pub-id-type="publisher-id">JSTCR-5-99</article-id>
<article-id pub-id-type="doi">10.4103/2006-8808.128751</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Successful Laparoscopic Removal of an Ingested Toothbrush</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Jamal</surname>
<given-names>Karim</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shaunak</surname>
<given-names>Shalin</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kalsi</surname>
<given-names>Sarandeep</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nehra</surname>
<given-names>Dhiren</given-names>
</name>
<xref ref-type="aff" rid="aff4">3</xref>
</contrib>
</contrib-group>
<aff id="aff1"><italic>Departments of General Surgery SpR in Upper GI Surgery, Epsom and St. Helier University Hospitals NHS Trust, United Kingdom</italic>
</aff>
<aff id="aff2"><label>1</label>
<italic>CT1 in Surgery, Epsom and St. Helier University Hospitals NHS Trust, United Kingdom</italic>
</aff>
<aff id="aff3"><label>2</label>
<italic>Foundation Year 1 Doctor, Epsom and St. Helier University Hospitals NHS Trust, United Kingdom</italic>
</aff>
<aff id="aff4"><label>3</label>
<italic>Consultant in Upper GI Surgery, Epsom and St. Helier University Hospitals NHS Trust, United Kingdom</italic>
</aff>
<author-notes><corresp id="cor1"><italic><bold>Address for correspondence:</bold>
Dr. Shalin Shaunak, 10 Vincent Road, Isleworth, Middlesex, TW7 4LT, UK. E-mail: <email xlink:href="shalin.shaunak@doctors.org.uk">shalin.shaunak@doctors.org.uk</email>
</italic>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jul-Dec</season>
<year>2013</year>
</pub-date>
<volume>5</volume>
<issue>2</issue>
<fpage>99</fpage>
<lpage>102</lpage>
<permissions><copyright-statement>Copyright: © Journal of Surgical Technique and Case Report</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Most ingested foreign bodies will pass through the gastrointestinal tract without any problems. On the other hand long, slender objects such as a toothbrush will rarely be able to negotiate the angulated and fixed retroperitoneal duodenal loop. Spontaneous toothbrush passage has never been described and therefore endoscopic or surgical removal is always required. Here we describe an asymptomatic young female presenting to out-patient clinic with a history of unintentional toothbrush ingestion 4 years prior. Endoscopic removal was unsuccessful because the toothbrush was partially embedded in to the gastric mucosa. We describe the second case to date of laparoscopic removal of a toothbrush via a gastrotomy with subsequent intra-corporeal repair of the defect.</p>
</abstract>
<kwd-group><kwd>Foreign body</kwd>
<kwd>gastronintestinal</kwd>
<kwd>laparoscopic</kwd>
<kwd>surgery</kwd>
<kwd>toothbrush</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Jamal, Karim" sort="Jamal, Karim" uniqKey="Jamal K" first="Karim" last="Jamal">Karim Jamal</name>
<name sortKey="Kalsi, Sarandeep" sort="Kalsi, Sarandeep" uniqKey="Kalsi S" first="Sarandeep" last="Kalsi">Sarandeep Kalsi</name>
<name sortKey="Nehra, Dhiren" sort="Nehra, Dhiren" uniqKey="Nehra D" first="Dhiren" last="Nehra">Dhiren Nehra</name>
<name sortKey="Shaunak, Shalin" sort="Shaunak, Shalin" uniqKey="Shaunak S" first="Shalin" last="Shaunak">Shalin Shaunak</name>
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