Management of duodeneal perforation due to toothpick ingestion

Abstract

Ingestion of foreign body is one of the major cause of serious morbidity and mortality in gastrointestinal system . A 47-year-old male patient attended to the emergency department complaining of abdominal pain for about two days duration. On physical examination of the patient, tenderness was observed in right flank region. Computed tomography examination revealed a foreign body that had impacted the third part of the duodenum and perforated and extended to the retroperitoneal structures.. Afterwards, semi-elective laparotomy was decided and the foreign body was removed under bleeding control. The perforated area in the 3rd part of the duedonum was primarily repaired and omentopexy was performed. The patient was discharged on the 6th day without any problem in the postoperative follow-up. Gastrointestinal foreign body ingestion treatment approach should be determined according to the characteristic of the object, its proximity to the anatomical structures and the clinic..