Endoscopic management of ingested toothpick resulting in duodeno-ureteric fistula

Author:

Roberts Georgia1,McKay Bartholomew1,Nathanson Andrew1,Hii Michael W123,Banting Simon123

Affiliation:

1. Department of Upper GI & HPB Surgery, St Vincent’s Hospital Melbourne , 41 Victoria Parade, Fitzroy, Victoria 3065 , Australia

2. The Department of Surgery , St Vincent’s Hospital, , 41 Victoria Parade, Fitzroy, Victoria 3065 , Australia

3. The University of Melbourne , St Vincent’s Hospital, , 41 Victoria Parade, Fitzroy, Victoria 3065 , Australia

Abstract

Abstract Toothpicks are commonly used but rarely ingested. Unlike most foreign bodies, if accidentally swallowed these rarely spontaneously pass. The duodenum has been reported as the most common site of toothpick foreign body lodgement in the upper gastrointestinal tract. We report the case of a 57-year-old presenting with recurrent urosepsis after non recognition of a toothpick impaction in the duodenum with fistulisation into the right renal pelvis. Endoscopic removal of the foreign body was successful in management of the urosepsis.

Publisher

Oxford University Press (OUP)

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