Endoscopic management of ingested toothpick resulting in duodeno-ureteric fistula
Georgia Roberts, Bartholomew McKay, Andrew Nathanson, Michael W Hii, Simon Banting
TL;DR
A 57-year-old patient developed a rare duodeno-ureteric fistula from an ingested toothpick, successfully treated via endoscopic removal.
Contribution
Presents a novel case of endoscopic management for a toothpick-induced fistula between the duodenum and renal pelvis.
Findings
Toothpick ingestion can lead to duodeno-ureteric fistula causing recurrent urosepsis.
Endoscopic removal effectively resolved the infection and fistula in this case.
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.
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Taxonomy
TopicsForeign Body Medical Cases · Hemostasis and retained surgical items · Airway Management and Intubation Techniques