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A CASE OF PERFORATION OF THE COLON BY AN ACCIDENTALLY SWALLOWED TOOTHPICK
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- ANDO Nobuhisa
- Department of Surgery, JA Gifu Tohno Kosei Hospital
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- TADAKOSHI Masao
- Department of Surgery, JA Gifu Tohno Kosei Hospital
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- MIZUNO Yutaka
- Department of Surgery, JA Gifu Tohno Kosei Hospital
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- ANDO Hideyuki
- Department of Surgery, JA Gifu Tohno Kosei Hospital
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- OHIKE Eko
- Department of Surgery, JA Gifu Tohno Kosei Hospital
Bibliographic Information
- Other Title
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- 爪楊枝誤飲による大腸穿孔の1例
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Description
Perforation of the gastrointestinal tract by an accidentally swallowed toothpick rarely happens, and its preoperative diagnosis is difficult because these patients rarely relate a history of swallowing a toothpick and most toothpicks are not radiopaque. We report an operated case of this disease successfully diagnosed preoperatively.<br>A 59-year-old woman was admitted to the hospital because of right lower quadrant abdominal pain and she stated that three days earlier she had accidentally swallowed a toothpick. There was tenderness in the right lower quadrant without signs of peritoneal irritation, and laboratory data were normal, except slight inflammatory reaction. Since X-ray films of the abdomen, gastrofiberscopy, ultrasonography (US) and CT revealed no signs of foreign bodies or perforation of the gastrointestinal tract, conservative therapy expecting spontaneous discharge was attempted. However, on 6th day after admission, US demonstrated a hyperechoic linear image, possibly representing a foreign body, apparently a toothpick and CT confirmed the presence of the toothpick. Emergency operation was done, and an abdominal exploration revealed a toothpick protruding through the ascending colon.<br>So far another 14 cases of perforation of the gastrointestinal tract by a swallowed toothpick have been seen in the Japanese literature. These rare 15 cases including ours are discussed in terms of clinical characteristics here.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 64 (11), 2794-2797, 2003
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282679820725376
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- NII Article ID
- 130003603342
- 10012013453
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed