tailieunhanh - báo cáo khoa học: " Accidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Accidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy: a case report | Al-Khyatt et al. Journal of Medical Case Reports 2011 5 421 http content 5 1 421 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Accidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy a case report Waleed Al-Khyatt Farhan Rashid and Syed Y Iftikhar Abstract Introduction Unintentional ingestion of a toothpick is not an uncommon event. Often the ingested toothpicks spontaneously pass through the gut without sequelae. However serious complications can happen when these sharp objects migrate through the gastrointestinal wall. Case presentation In the current report we describe the case of a 37-year-old Caucasian woman with an incidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy for symptomatic gall stones. Conclusion Toothpick ingestion is not an uncommon event and can predispose patients to serious complications. In this particular case the toothpick was only discovered at the time of unrelated surgery. Therefore it was important during surgery to exclude any related or missed injury to the adjacent structures by this sharp object. Introduction Unintentional ingestion of a toothpick is not an uncommon event. Often the ingested toothpicks spontaneously pass through the gut without sequelae 1 . However serious complications can happen when these sharp objects migrate through the gastrointestinal wall 2 . Patients with ingested toothpicks in the gastrointestinal tract typically have no recollection of the event. Symptoms related to toothpick ingestion are often variable and non-specific 3 4 . In the current report we describe the case of a 37-year-old Caucasian woman with an incidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy for symptomatic gall stones. Case presentation A 37-year-old Caucasian woman presented to our facility with recurrent attacks of upper abdominal pain over a six-month period. Otherwise she was fit and