Al-Khyatt W, Rashid F, Iftikhar SY. Accidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy: a case report.
J Med Case Rep 2011;
5:421. [PMID:
21878119 PMCID:
PMC3177930 DOI:
10.1186/1752-1947-5-421]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2011] [Accepted: 08/30/2011] [Indexed: 11/29/2022] Open
Abstract
Introduction
Unintentional ingestion of a toothpick is not an uncommon event. Often the ingested toothpicks spontaneously pass through the gut without sequelae. However, serious complications can happen when these sharp objects migrate through the gastrointestinal wall.
Case presentation
In the current report, we describe the case of a 37-year-old Caucasian woman with an incidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy for symptomatic gall stones.
Conclusion
Toothpick ingestion is not an uncommon event and can predispose patients to serious complications. In this particular case, the toothpick was only discovered at the time of unrelated surgery. Therefore, it was important during surgery to exclude any related or missed injury to the adjacent structures by this sharp object.
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