Tan L N, Tan Y Y, Liu D L
Department of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Acta Gastroenterol Belg. 2020 Apr-Jun;83(2):319-321.
Toothpick ingestion is a rare event, but due to the low efficacy of radiographic examination, it can induce severe complications including perforation, abscess, and sepsis.
Four patients with either defecation problems or abdominal/anal pain were admitted to our hospital. Colonoscopy showed all four cases had a toothpick impacted in the colorectal wall without perforation. Direct retrieval of the toothpick under endoscopy was achieved. All four patients were relieved and remained well during the follow-up.
Endoscopy is the most effective method to discover or retrieve ingested wooden foreign bodies when there are no severe complications.
牙签摄入是一种罕见事件，但由于影像学检查效果不佳，它可引发包括穿孔、脓肿和败血症在内的严重并发症。
四名有排便问题或腹部/肛门疼痛的患者入住我院。结肠镜检查显示所有四例患者的结直肠壁均有牙签嵌顿且无穿孔。在内镜下直接取出了牙签。所有四名患者均症状缓解，随访期间情况良好。
当不存在严重并发症时，内镜检查是发现或取出摄入的木质异物的最有效方法。
