• Pediatric emergency care · Jul 2010

    Case Reports

    Toothpick ingestion causing duodenal perforation.

    • Monica Ragazzi, Fabiola Delcò, Paola Rodoni-Cassis, Massimo Brenna, Laure Lavanchy, and Mario G Bianchetti.
    • Division of Pediatrics, Ospedale Mendrisio, Mendrisio, Switzerland.
    • Pediatr Emerg Care. 2010 Jul 1; 26 (7): 506-7.

    AbstractIn childhood, almost all swallowed objects that successfully navigate the esophagus pass through the gut without complications. In a 15-year-old male adolescent with the initial working diagnosis of acalculous cholecystitis, computed tomography revealed a thickened wall of the second duodenal portion, some infiltration of the periduodenal tissue, and a hyperdense needle-shape structure probably passing through the duodenal wall. Endoscopy revealed a wooden toothpick perforating the duodenum that was carefully retracted. An uneventful recovery followed the endoscopic removal of the foreign body. A computer-based search of the literature to examine the injuries caused by ingested toothpicks since 1960 found only 4 reports in 5 children.

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