Small intestine perforation due to a toothpick with non - specific clinical symptoms

Le Thanh Dung, Nguyen Duy Hung, Hoang Ngan Thuy, Thân Văn Sỹ

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Abstract

Intestinal perforation due to a foreign body is rare but it is life-threatening and need a surgical emergency . The perforated by the foreign bodies (such as a toothpick) are often long and sharped, and the site of perforation can be found in any part of the gastrointestinal tract. The clinical symptoms of gastrointestinal foreign bodies are often diverse and non-specific, easily confused with many other gastrointestinal diseases, it is leading to the late diagnosis or detection, and only when the complications are present. We report a case of a 57-year-old woman, with no clear history of ingesting a foreign body, who was admitted to the our hospital due to dull abdominal pain in the left iliac fossa with a weight loss of 4 kg within 1 month. Abdominal ultrasonography and computed tomography showed a small bowel perforation due to a rod-shaped foreign body forming an infiltrate mass in the left iliac fossa. Abdominal surgery was done to confirm ileal perforation injury due to toothpick. A resection of the damaged bowel was performed with side-to-side ileo-ileal anastomosis. The patient was recovered and was discharged from the hospital on the day 5th without any complications.

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References

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