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Title: Toothpick impaction in a sigmoid diverticulum
Austin Authors: Kumar, Shanesh;Mehdipour, Ramin;Arachchi, Asiri;Cass, Antony
Affiliation: Surgery, Eastern Health, Box Hill, Victoria, Australia
Department of Surgery, Austin Health, Heidelberg, Victoria, Australia
Surgery, Monash Health, Clayton, Victoria, Australia
Issue Date: 12-May-2017 2017-05-12
Publication information: BMJ Case Reports 2017; online first: 12 May
Abstract: A 70-year-old woman presented to our emergency department with recurrent episodes of left lower quadrant pain. She subsequently underwent high anterior resection with working diagnosis of acute diverticulitis, but intraoperatively was found to have perforated sigmoid diverticulum due to toothpick impaction. A high index of suspicion is required for diagnosis of toothpick ingestion. Appropriate preoperative investigations such as endoscopy and CT, despite their fairly low sensitivity, should be performed to increase the ability to accurately diagnose this condition and therefore optimise subsequent management.
DOI: 10.1136/bcr-2017-219198
ORCID: 0000-0003-3314-090X
PubMed URL:
Type: Journal Article
Subjects: Gastrointestinal surgery
General surgery
Type of Clinical Study or Trial: Case Series and Case Reports
Appears in Collections:Journal articles

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