EdenteV1, PubMed, Checkpoint, bibRecord, 000916

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion.

Identifieur interne : 000916 ( PubMed/Checkpoint ); précédent : 000915; suivant : 000917

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion.

Auteurs : David Mark [Royaume-Uni] ; Kathryn Ferris ; Gareth Martel ; Keith Mulholland

Source :

BMJ case reports [ 1757-790X ] ; 2013.

RBID : pubmed:23933859

Descripteurs français

KwdFr :
- Consommation alimentaire, Corps étrangers (), Corps étrangers (imagerie diagnostique), Humains, Iléum (imagerie diagnostique), Iléum (traumatismes), Maladies de l'iléon (imagerie diagnostique), Maladies de l'iléon (étiologie), Mâle, Perforation intestinale (imagerie diagnostique), Perforation intestinale (étiologie), Radiographie, Sujet âgé.
MESH :
- imagerie diagnostique : Corps étrangers, Iléum, Maladies de l'iléon, Perforation intestinale.
- traumatismes : Iléum.
- étiologie : Maladies de l'iléon, Perforation intestinale.
- Consommation alimentaire, Corps étrangers, Humains, Mâle, Radiographie, Sujet âgé.

English descriptors

KwdEn :
- Aged, Eating, Foreign Bodies (complications), Foreign Bodies (diagnostic imaging), Humans, Ileal Diseases (diagnostic imaging), Ileal Diseases (etiology), Ileum (diagnostic imaging), Ileum (injuries), Intestinal Perforation (diagnostic imaging), Intestinal Perforation (etiology), Male, Radiography.
MESH :
- complications : Foreign Bodies.
- diagnostic imaging : Foreign Bodies, Ileal Diseases, Ileum, Intestinal Perforation.
- etiology : Ileal Diseases, Intestinal Perforation.
- injuries : Ileum.
- Aged, Eating, Humans, Male, Radiography.

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.

DOI: 10.1136/bcr-2013-009869
PubMed: 23933859

Affiliations:

Royaume-Uni

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pubmed:23933859

Le document en format XML

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<author><name sortKey="Mark, David" sort="Mark, David" uniqKey="Mark D" first="David" last="Mark">David Mark</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of General Surgery, Ulster Hospital, Belfast, UK. David-mark@hotmail.co.uk</nlm:affiliation>
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<wicri:regionArea>Department of General Surgery, Ulster Hospital, Belfast</wicri:regionArea>
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<author><name sortKey="Martel, Gareth" sort="Martel, Gareth" uniqKey="Martel G" first="Gareth" last="Martel">Gareth Martel</name>
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<term>Iléum (imagerie diagnostique)</term>
<term>Iléum (traumatismes)</term>
<term>Maladies de l'iléon (imagerie diagnostique)</term>
<term>Maladies de l'iléon (étiologie)</term>
<term>Mâle</term>
<term>Perforation intestinale (imagerie diagnostique)</term>
<term>Perforation intestinale (étiologie)</term>
<term>Radiographie</term>
<term>Sujet âgé</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Foreign Bodies</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Foreign Bodies</term>
<term>Ileal Diseases</term>
<term>Ileum</term>
<term>Intestinal Perforation</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ileal Diseases</term>
<term>Intestinal Perforation</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Corps étrangers</term>
<term>Iléum</term>
<term>Maladies de l'iléon</term>
<term>Perforation intestinale</term>
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<front><div type="abstract" xml:lang="en">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>
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<Abstract><AbstractText>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.</AbstractText>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Radiographics. 1999 May-Jun;19(3):820-2</RefSource>
<PMID Version="1">10336207</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Emerg Med. 2002 Jul;23(1):35-8</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>West J Med. 1983 May;138(5):727-30</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>J Clin Ultrasound. 1994 Oct;22(8):483-90</RefSource>
<PMID Version="1">7814653</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>JAMA. 1968 Mar 11;203(11):988</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Urol. 1988 Jan;139(1):114-5</RefSource>
<PMID Version="1">3275793</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Ky Med Assoc. 1978 Sep;76(9):441</RefSource>
<PMID Version="1">308975</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 1957 Oct;94(4):564-6</RefSource>
<PMID Version="1">13458636</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Urology. 1998 Dec;52(6):1130-1</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 1982 Jul;144(1):63-7</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Am J Gastroenterol. 1996 Sep;91(9):1860-2</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>JAMA. 1984 Aug 10;252(6):796-7</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Nihon Geka Hokan. 1981 Nov 1;50(6):899-903</RefSource>
<PMID Version="1">7337513</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Mayo Clin Proc. 1983 Sep;58(9):613-6</RefSource>
<PMID Version="1">6350738</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Bone Joint Surg Am. 1992 Feb;74(2):296-8</RefSource>
<PMID Version="1">1541625</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2005 May 26;352(21):2249-50</RefSource>
<PMID Version="1">15917396</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Arch Surg. 1971 Mar;102(3):227-8</RefSource>
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Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion.

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki