Endoscopic management of ingested toothpick resulting in duodeno-ureteric fistula

Georgia Roberts; Bartholomew McKay; Andrew Nathanson; Michael W Hii; Simon Banting

doi:10.1093/jscr/rjae214

Endoscopic management of ingested toothpick resulting in duodeno-ureteric fistula

J Surg Case Rep. 2024 Apr 18;2024(4):rjae214. doi: 10.1093/jscr/rjae214. eCollection 2024 Apr.

Authors

Georgia Roberts¹, Bartholomew McKay¹, Andrew Nathanson¹, Michael W Hii^{1

2}, Simon Banting^{1

2}

Affiliations

¹ Department of Upper GI & HPB Surgery, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia.
² The Department of Surgery, St Vincent's Hospital, The University of Melbourne, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia.

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.

Keywords: duodenum; endoscopy; foreign body; renal pelvis.

Publication types

Case Reports