Aguilar Ayala Bernabé Esteban, Cazares Cadena Baiter Renán, Molina Gabriel A, Constante Ruiz Jonathan Eduardo, Salazar Parada Juan Fernando, Solórzano García Onofre Jacinto
Department of General Surgery at Hospital Enrique Garces, Quito-Ecuador.
PGY4 Resident General Surgery at PUCE, Quito-Ecuador.
J Surg Case Rep. 2019 Apr 10;2019(4):rjz106. doi: 10.1093/jscr/rjz106. eCollection 2019 Apr.
Bowel perforation due to inadvertent ingestion of foreign objects is, fortunately, a rare event. However, it can lead to deadly complications when it occurs. Thin, sharp and pointed objects like toothpicks are more likely to pierce the bowel wall. Diagnosing toothpick ingestion and perforation is difficult since most patients do not recall swallowing the toothpick, symptoms and physical examinations are nonspecific, the symptoms can resemble many abdominal pathologies, and since a toothpick has a radiolucent nature that makes it difficult to detect through X-ray imaging. Due to this, most of the cases are identified during the transoperative period. We present the case of a 27-year-old male who presented with symptoms clinically indistinguishable from acute appendicitis. During surgery, two toothpicks were discovered that compromised the cecum and the appendix. After successful removal of the foreign objects, the patient underwent a full recovery.
幸运的是，因意外吞食异物导致的肠穿孔是一种罕见事件。然而，一旦发生，它可能会导致致命的并发症。像牙签这类细、尖且锋利的物体更容易刺穿肠壁。诊断牙签吞食和穿孔很困难，因为大多数患者不记得吞了牙签，症状和体格检查都不具有特异性，这些症状可能与许多腹部疾病相似，而且由于牙签具有射线可透过的特性，使得通过X光成像难以检测到。因此，大多数病例是在手术过程中才被发现的。我们报告一例27岁男性病例，其临床表现与急性阑尾炎难以区分。手术过程中发现两根牙签，它们已累及盲肠和阑尾。成功取出异物后，患者完全康复。
