Small Bowel Obstruction Caused by the Ingestion of a Wooden Toothpick: The CT findings and a Literature Review

Junichi Izumi; Kimihiko Satoh; Wataru Iwasaki; Takaya Miura; Shusei Fujimori

doi:10.2169/internalmedicine.56.7463

CASE REPORTS

Small Bowel Obstruction Caused by the Ingestion of a Wooden Toothpick: The CT findings and a Literature Review

Junichi Izumi, Kimihiko Satoh, Wataru Iwasaki, Takaya Miura, Shusei Fujimori

著者情報

キーワード: toothpick ingestion, small bowel obstruction, duodenal perforation, computed tomography, CT

ジャーナルオープンアクセス

2017 年 56 巻 6 号 p. 657-660

DOI https://doi.org/10.2169/internalmedicine.56.7463

詳細

抄録

We present a case in which the accidental ingestion of a toothpick caused duodenal perforation and small intestinal obstruction. A 58-year-old man visited our emergency room with acute abdominal pain. Computed tomography (CT) showed obstructive ileus as well as a foreign body penetrating the duodenum, which was identified as a toothpick and removed endoscopically. Unenhanced CT was superior in detecting the object. The patient has been doing well since the operation.

責任著者(Corresponding author)

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