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Similar Publications

Endoscopic management of ingested toothpick resulting in duodeno-ureteric fistula.

J Surg Case Rep

April 2024

Department of Upper GI & HPB Surgery, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia.

Toothpicks are commonly used but rarely ingested. Unlike most foreign bodies, if accidentally swallowed these rarely spontaneously pass. The duodenum has been reported as the most common site of toothpick foreign body lodgement in the upper gastrointestinal tract.

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Toothpick ingestion is a medical emergency requiring urgent intervention. Swallowed toothpicks can cause intestinal perforation, bleeding, or damage to the surrounding organs. Herein, we describe a unique case of a geriatric patient with a history of peptic ulcer disease who presented to the emergency department for the evaluation of abdominal pain and nausea.

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Article Synopsis
  • Choking is a serious issue causing many health problems and deaths, particularly among young children and seniors, and it often goes unreported.
  • A study analyzed 138 choking incidents in a Rome hospital, with the majority of cases involving people aged 40-59, and common choking hazards including fish and meat bones.
  • To prevent choking, awareness and education on risk factors are crucial, emphasizing the importance of proper chewing and handling of food.
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Adults can accidentally swallow foreign bodies (FBs) with food. In rare occasions, these can lodge in the appendix lumen causing inflammation. This is known as foreign body appendicitis.

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