Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
Gastrointestinal (GI) bleeding is a common clinical condition that can be caused by a variety of reasons. Bleeding can occur anywhere in the GI tract, and it usually presents as vomiting of blood, melena or black stools. We herein present a case of a 48-year-old man who was ultimately diagnosed with...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1182746/full |
| _version_ | 1797809082619396096 |
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| author | Yao Xiong Jing Yan Gaowu Yan Lei Feng Yong Li Suyu He Ruyi Li Gangcheng Tan Bo Feng |
| author_facet | Yao Xiong Jing Yan Gaowu Yan Lei Feng Yong Li Suyu He Ruyi Li Gangcheng Tan Bo Feng |
| author_sort | Yao Xiong |
| collection | DOAJ |
| description | Gastrointestinal (GI) bleeding is a common clinical condition that can be caused by a variety of reasons. Bleeding can occur anywhere in the GI tract, and it usually presents as vomiting of blood, melena or black stools. We herein present a case of a 48-year-old man who was ultimately diagnosed with perforation of the lower ileum, pseudoaneurysm of the right common iliac artery, lower ileum-right common iliac artery fistula, and pelvic abscess caused by accidental ingestion of a toothpick. This case suggests that accidental ingestion of a toothpick may also be the cause of GI bleeding in some patients. For patients with unexplained GI bleeding, especially those with small bowel bleeding, a rational and combined use of gastroduodenoscopy, colonoscopy, unenhanced and contrast-enhanced abdominal CT can help detect the causes of GI bleeding and improve diagnostic accuracy. |
| first_indexed | 2024-03-13T06:47:15Z |
| format | Article |
| id | doaj.art-50eaecd5bf7a4cebaf5d2746a298fb23 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-13T06:47:15Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-50eaecd5bf7a4cebaf5d2746a298fb232023-06-08T04:53:28ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-06-011010.3389/fmed.2023.11827461182746Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpickYao Xiong0Jing Yan1Gaowu Yan2Lei Feng3Yong Li4Suyu He5Ruyi Li6Gangcheng Tan7Bo Feng8Division of Gastroenterology and Hepatology, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Radiology, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Radiology, Suining Central Hospital, Suining, Sichuan, ChinaDivision of Gastroenterology and Hepatology, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Radiology, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Radiology, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Radiology, Lixian People's Hospital, Aba, Sichuan, ChinaDepartment of Radiology, Lixian People's Hospital, Aba, Sichuan, ChinaDepartment of Radiology, Lixian People's Hospital, Aba, Sichuan, ChinaGastrointestinal (GI) bleeding is a common clinical condition that can be caused by a variety of reasons. Bleeding can occur anywhere in the GI tract, and it usually presents as vomiting of blood, melena or black stools. We herein present a case of a 48-year-old man who was ultimately diagnosed with perforation of the lower ileum, pseudoaneurysm of the right common iliac artery, lower ileum-right common iliac artery fistula, and pelvic abscess caused by accidental ingestion of a toothpick. This case suggests that accidental ingestion of a toothpick may also be the cause of GI bleeding in some patients. For patients with unexplained GI bleeding, especially those with small bowel bleeding, a rational and combined use of gastroduodenoscopy, colonoscopy, unenhanced and contrast-enhanced abdominal CT can help detect the causes of GI bleeding and improve diagnostic accuracy.https://www.frontiersin.org/articles/10.3389/fmed.2023.1182746/fullforeign bodiestoothpickpseudoaneurysmgastrointestinal perforationgastrointestinal bleedingsmall intestine |
| spellingShingle | Yao Xiong Jing Yan Gaowu Yan Lei Feng Yong Li Suyu He Ruyi Li Gangcheng Tan Bo Feng Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick Frontiers in Medicine foreign bodies toothpick pseudoaneurysm gastrointestinal perforation gastrointestinal bleeding small intestine |
| title | Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick |
| title_full | Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick |
| title_fullStr | Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick |
| title_full_unstemmed | Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick |
| title_short | Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick |
| title_sort | case report an unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick |
| topic | foreign bodies toothpick pseudoaneurysm gastrointestinal perforation gastrointestinal bleeding small intestine |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1182746/full |
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