- Toothpick Colon Injury Mimicking Colonic Diverticulitis
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Min Hyeong Jo, Hwan Namgung
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Ann Coloproctol. 2018;34(3):157-159. Published online June 30, 2018
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DOI: https://doi.org/10.3393/ac.2018.04.23
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Abstract
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- Although toothpick ingestion is rare, it can lead to fatal complications in the gastrointestinal tract. Diagnosing toothpick ingestion is difficult because most patients do not recall swallowing one. We report 2 cases of toothpick-ingestion-induced colon injury, mimicking diverticulitis. The first patient was a 47-year-old male who had received conservative treatment under the impression of his having diverticulitis in the cecum. Ultrasonography revealed a linear foreign body in the right lower abdomen; a subsequent laparoscopic examination revealed inflammation around the cecum, but no evidence of bowel perforation. A thorough investigation revealed a toothpick embedded in the subcutaneous fat and muscle layer of the lower abdominal wall; we removed it. The second patient was a 56-year-old male who had received conservative treatment under the impression of his having diverticulitis in the sigmoid colon. An explorative laparotomy revealed a toothpick piercing the sigmoid colon; we performed an anterior resection. Both patients were discharged without postoperative complications.
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Citations
Citations to this article as recorded by 
- Anterior abdominal wall abscess due to toothpick ingestion: A case report
Doğuş Can Ekdal, Ahmet Akmercan, Tevfik Kıvılcım Uprak Surgery Case Reports.2025; 4: 100088. CrossRef - Perforation of the Terminal Ileum Secondary to Mucosal Damage of Enteroaggregative Escherichia coli and a Toothpick
Nora A Rady, James Parrish Cureus.2024;[Epub] CrossRef - Accidentally ingested wooden toothpick, perforation of a sigmoid diverticulum and mimicking acute colonic diverticulitis: A case report and literature review
Giuseppe Evola, Giulia Impellizzeri, Elia Pulvirenti, Maria D'Angelo, Martina Reina, Giuseppe Angelo Reina International Journal of Surgery Case Reports.2023; 104: 107945. CrossRef - Toothpick perforates small bowel-mimicking diverticulitis
Ahmed A Fallatah, Hassan Mashbari, Hatoon Daghestani, Omar Mostafa, Nawaf Alshahwan, Ahmed Alburakan, Thamer Nouh Journal of Surgical Case Reports.2023;[Epub] CrossRef
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