Sarici Inanc Samil, Topuz Omer, Sevim Yusuf, Sarigoz Talha, Ertan Tamer, Karabıyık Ozgur, Koc Ali
Department of General Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey.
Am J Case Rep. 2017 Jan 20;18:72-75. doi: 10.12659/ajcr.902004.
BACKGROUND Toothpick ingestion is implicated in bowel injuries that may cause violent complications, mimicking diseases causing acute abdomen. CASE REPORT A 18-year-old man was admitted with a 3-day history of a swallowed wooden toothpick. The patient had tenderness in the left flank area. Computed tomography indicated toothpick impaction at the splenic flexura of the colon. It was successfully removed with colonoscopy. After the procedure, abdominal radiography showed free air as a sign of perforation. Along with conservative management, the patient was discharged without surgery. CONCLUSIONS There is need for greater awareness of the hazardous of an ingested toothpick. Endoscopic approach should be considered in the first-line management of toothpick perforations.
牙签摄入与可能导致严重并发症的肠道损伤有关，这些并发症会模仿引起急腹症的疾病。病例报告：一名18岁男性因吞咽木质牙签3天入院。患者左胁腹部有压痛。计算机断层扫描显示牙签嵌顿于结肠脾曲。通过结肠镜检查成功取出。术后腹部X线摄影显示有游离气体，提示穿孔。经过保守治疗，患者未进行手术即出院。结论：需要提高对摄入牙签危险性的认识。在牙签穿孔的一线治疗中应考虑采用内镜方法。
