A Case of Small Bowel Perforation by a Toothpick Presented with Abdominal Abscess Formation

ASO Nobuyoshi, KISHIKI Tomokazu, KOJIMA Koichiro, MASAKI Tadahiko, ABE Nobutsugu, SUNAMI Eiji

doi:10.3919/jjsa.81.1538

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Other Title

腹壁膿瘍で発見された爪楊枝による小腸腹壁穿通の1例
症例腹壁膿瘍で発見された爪楊枝による小腸腹壁穿通の1例
ショウレイフクヘキノウヨウデハッケンサレタツマヨウジニヨルショウチョウフクヘキセンツウノ 1レイ

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Abstract

<p>A 73-year-old man who had undergone right hemicolectomy for cecal cancer experienced abdominal pain and diarrhea after eating grilled meat 2 months previously and was treated with medication due to suspected Campylobacter enteritis. Although his diarrhea improved, the abdominal pain persisted, and his skin became reddened in the navel area. A CT scan showed abdominal wall abscess formation because of a gastrointestinal foreign body. Laparotomy revealed abscess formation involving the anastomosis, which was firmly adhered to the abdominal wall, and a toothpick that had penetrated the intestinal wall at about 5 cm proximal to the anastomosis was found in the abscess. After removal of the toothpick, partial small bowel resection was performed. The patient's postoperative course was uneventful, and he was discharged on postoperative day 8. Toothpicks can cause bowel perforation and peritonitis. It is rarely reported that abdominal wall abscess is formed due to a gastrointestinal foreign body which has penetrated the intestine and reached the abdominal wall.</p>

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 81 (8), 1538-1543, 2020

Japan Surgical Association

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