Small Bowel Obstruction Caused by the Ingestion of a Wooden Toothpick: The CT findings and a Literature Review.
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.
Department of Radiology, Yokote Municipal Hospital, Japan.
Junichi
J
Izumi
Kimihiko
K
Satoh
Wataru
W
Iwasaki
Takaya
T
Miura
Shusei
S
Fujimori
D015746:Abdominal Pain / Q000209:etiology; D004386:Duodenum / Q000293:injuries*; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012421:Rupture; D014057:Tomography, X-Ray Computed / Q000009:adverse effects