Abstract
Unintentional ingestion of foreign bodies is common in daily life. The unintentional
ingestion of sharp foreign bodies such as toothpicks, fish bones and chicken bones
carries a significant risk of perforation of the gastrointestinal tract. Herein, we
report a case of hepatic inflammatory mass complicated by the perforation of an ingested
toothpick that had a distinctive enhancement pattern on dynamic computed tomograms
(CT). Understanding the phenomenon of enhancement in triphasic CT study is the basis
in differentiating liver neoplasms.
Keywords
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References
- Travelling toothpicks.Mayo Clin Proc. 1983; 58: 613-616
- Toothpick perforation of the intestines.Ann Surg. 1977; 85: 64-66
- Appendiceal obstruction by a toothpick removed at colonoscopy.Am J Gastroenterol. 1986; 81: 1107-1108
- Delayed death from ingestion of a toothpick.N Engl J Med. 1989; 320: 673
- Perforation of the intestine by ingested foreign bodies: report of two cases and review of the literature.Am J Surg. 1941; 53: 393-402
- Case records of Massachusettes General Hospital.N Engl J Med. 1972; 286: 1309-1315
- Duodenocaval fistual due to toothpick perforation.JAMA. 1979; 227: 788-789
- Venturesome toothpick: a continuing source of pyogenic hepatic abscess.JAMA. 1984; 252: 797-798
- Toothpick pleurisy.JAMA. 1968; 203: 988
- Sonographic detection of clinically unsuspected swallowed toothpicks and their gastrointestinal complications.J Clin Ultrasound. 1994; 22: 483-490
- Delayed enhancement of fibrous areas in hepatic masses: CT-pathologic correlation.J Comput-Assited Tomogr. 1992; 16: 206-211
Article info
Publication history
Accepted:
May 30,
2000
Received:
February 13,
2000
Identification
Copyright
© 2000 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
