Canadian Association of Radiologists Journal
Volume 60, Issue 3 , Pages 146-148 , June 2009

Answer to Case of the Month #150: Right Iliac Fossa Abscess Secondary to Cecal Perforation by Toothpick

  • Arifa Sadaf, FRCR

      Affiliations

    • University of Ottawa, Diagnostic Imaging, C1, The Ottawa Hospital, Civic Campus, Ottawa, Ontario, Canada
    • Corresponding Author InformationAddress for correspondence: Arifa Sadaf, FRCR, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada.
    • ,
  • Ian Hammond, MD, FRCPC, FACR

      Affiliations

    • University of Ottawa, Ottawa Hospital, General Campus, Ottawa, Ontario, Canada

References 

  1. Velitchkov NG, Grigorov GI, Losanoff JE, et al. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996;20:1001–1005
  2. Henderson FF, Gaston EA. Ingested foreign body in the gastrointestinal tract. Arch Surg. 1938;36:66–95
  3. Kay M, Wyllie R. Pediatric foreign bodies and their management. Curr Gastrenterol Rep. 2005;7:212–218
  4. Ashby BS, Hunter-Craig ID. Foreign body perforations of the gut. Br J Surg. 1967;54:382–384
  5. Hewett PJ, Young JF. Toothpick injuries to the gastrointestinal tract. Aust N Z J Surg. 1991;61:35–37
  6. Madrona AP, Hernandez JA, Prats MC, et al. Intestinal perforation by foreign bodies. Eur J Surg. 2000;166:307–309
  7. Silvernale FP. Foreign body (Bobbie pin) in duodenum. J Lancet. 1939;59:190–191
  8. O'Gorman MA, Boyer RS, Daniel JW. Toothpick foreign body perforation and migration mimicking Crohn's disease in a child. J Pediatr Gastroenterol Nutr. 1996;23:628–630
  9. Blankfield RP, Kelly RB. Toothpick perforation mimicking jejunal lymphoma. Postgrad Med. 1989;86:265–271
  10. Callon RA, Brady PG. Toothpick perforation of the sigmoid colon: an unusual case associated with Erysipelothrix Rhusiophatiae septicemia. Gastrointest Endosc. 1990;36:141–143
  11. Chiang TH, Liu KL, Lee YC, et al. Sonographic diagnosis of a toothpick traversing the duodenum and penetrating into the Liver. J Clin Ultrasound. 2006;34:237–240
  12. Dicicco BS, Heit HA, Peterson JE, et al. Massive bleeding to arterial-enteric fistula from an injested toothpick. J Clin Gastroenterol. 1985;7:292–295
  13. Justiniani FR, Wigoda L, Ortega RS. Duodenocaval fistula due to toothpick perforation. JAMA. 1974;227:788–789
  14. Blankfield RP, Kelly RB. Toothpick perforation mimicking jejunal lymphoma. Postgrad Med. 1989;86:265–271
  15. Plavcan WG, McWilliams WA. Toothpick obstruction of the ureter. J Urol. 1988;139:114–115
  16. Alagiri M, Rabinovitch HH. Toothpick migration into bladder presents as abdominal pain and hematuria. Urology. 1998;52:1130–1131
  17. Li SF, Ender K. Toothpick injury mimicking renal colic: case report and systematic review. J Emerg Med. 2002;23:35–38
  18. Rioux M, Langis P. Sonographic detection of clinically unsuspected swallowed toothpicks and their gastrointestinal complications. J Clin Ultrasound. 1994;22:483–490
  19. Monkemuller KE, Patil R, Marino CR. Endoscopic removal of a toothpick from the transverse colon. Am J Gastroenterol. 1996;91:2438–2439

PII: S0846-5371(09)00029-1

doi: 10.1016/j.carj.2009.02.026

Canadian Association of Radiologists Journal
Volume 60, Issue 3 , Pages 146-148 , June 2009

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