title: Perforation of the cecum by a toothpick. Case report and review of the literature.
abstract: Perforation of the colon can have any number of causes. Most often, it is the result of carcinoma or diverticulitis; specific inflammatory disease of the large intestine is a less common cause. Other possibilities are iatrogenic perforation, perforation as a result of blunt or penetrating abdominal trauma, and ingestion of a foreign body. A case of perforation of the cecum by a toothpick 3 weeks after consumption of a beef olive is reported; possible diagnostic problems, other conditions that need to be considered in the differential diagnosis and treatment are discussed.
authors.affiliation: Department of General Surgery, Karl-Franzens University, Graz, Austria.
authors.forename: H
authors.initials: H
authors.lastname: Hauser
authors.forename: J
authors.initials: J
authors.lastname: Pfeifer
authors.forename: S
authors.initials: S
authors.lastname: Uranüs
authors.forename: M
authors.initials: M
authors.lastname: Klimpfinger
mesh_terms: D000368:Aged; D002432:Cecum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D017809:Fatal Outcome; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000601:surgery; D012772:Shock, Septic / Q000000981:diagnostic imaging / Q000601:surgery; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed