篇名 |
Successful treatment through single-port laparoscopy for a gastrojejunal fistula caused by an accidentally ingested toothpick |
作者 |
Chien-Cheng Chen, Chin-Tsung Ting, Yung-Hsuen Hsu, Po-Chun Chen, Meng-Dar Lee, Mao-Ho Liu |
卷期/出版年月 |
49卷5期 (2016/10) |
頁次 |
190-192 |
摘要 |
The causes of gastrojejunal fistula are unclear. The ingestion of foreign bodies
should be considered. We report the case of a 46-year-old man who visited the emergency department with a 3-day history of dysuria, left upper abdominal pain, left flank soreness, and high fever. Physical examination revealed tenderness in the left upper abdominal quadrant and left costovertebral angle. Abdominal computed tomography and gastroduodenoscopy were inconclusive for gastrojejunal fistula with regional peritonitis caused by an ingested toothpick. A 7-cm toothpick was successfully removed through single-port laparoscopy. Toothpick ingestion is a medical emergency because it can lead to acute abdomen and gut perforation. Singleport laparoscopy is a minimally invasive strategy for treating this condition. |
關鍵詞 |
laparoscopy;peritonitis;single-port;toothpick |
分類 |
Case Report |