Cardiac hazard associated with eating habits. A case of infected intrapericardial foreign body due to an ingested toothpick
An unusual case of a toothpick perforating the distal one-third of the duodenum, penetrating the inferior vena cava and thereafter migrating to the right atrium with extensive pericardial fibrosis is reported. A 60-year-old man was admitted to the emergency department because of epigastric pain, whi...
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Veröffentlicht in: | Canadian journal of cardiology 2009-07, Vol.25 (7), p.e263-e264 |
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creator | Lacroix, Stéphanie, BSc Ferland, Annie, RD PhD Gilbert, Philippe, MD MSc FRCPC Lemieux, Michel, MD FRCS Bilodeau, Luc, MD FACC FRCPC Poirier, P., MD PhD FRCPC FACC FAHA |
description | An unusual case of a toothpick perforating the distal one-third of the duodenum, penetrating the inferior vena cava and thereafter migrating to the right atrium with extensive pericardial fibrosis is reported. A 60-year-old man was admitted to the emergency department because of epigastric pain, which had progressively worsened. After partial recovery, he was discharged. However, after four episodes of different gastrointestinal bacteria septicemias of unknown origin over a period of five months, the patient was transferred to Laval Hospital (Laval, Quebec) for clinical investigation. Cardiac echocardiography demonstrated a right atrial mass, suggestive of the presence of a thrombus. Thus, after exploratory thoracotomy was performed to remove the so-called thrombus, a toothpick was found in the right atrium. |
doi_str_mv | 10.1016/S0828-282X(09)70518-5 |
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A case of infected intrapericardial foreign body due to an ingested toothpick</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Lacroix, Stéphanie, BSc ; Ferland, Annie, RD PhD ; Gilbert, Philippe, MD MSc FRCPC ; Lemieux, Michel, MD FRCS ; Bilodeau, Luc, MD FACC FRCPC ; Poirier, P., MD PhD FRCPC FACC FAHA</creator><creatorcontrib>Lacroix, Stéphanie, BSc ; Ferland, Annie, RD PhD ; Gilbert, Philippe, MD MSc FRCPC ; Lemieux, Michel, MD FRCS ; Bilodeau, Luc, MD FACC FRCPC ; Poirier, P., MD PhD FRCPC FACC FAHA</creatorcontrib><description>An unusual case of a toothpick perforating the distal one-third of the duodenum, penetrating the inferior vena cava and thereafter migrating to the right atrium with extensive pericardial fibrosis is reported. A 60-year-old man was admitted to the emergency department because of epigastric pain, which had progressively worsened. After partial recovery, he was discharged. However, after four episodes of different gastrointestinal bacteria septicemias of unknown origin over a period of five months, the patient was transferred to Laval Hospital (Laval, Quebec) for clinical investigation. Cardiac echocardiography demonstrated a right atrial mass, suggestive of the presence of a thrombus. Thus, after exploratory thoracotomy was performed to remove the so-called thrombus, a toothpick was found in the right atrium.</description><identifier>ISSN: 0828-282X</identifier><identifier>EISSN: 1916-7075</identifier><identifier>DOI: 10.1016/S0828-282X(09)70518-5</identifier><identifier>PMID: 19584985</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Abdominal Pain - diagnosis ; Abdominal Pain - etiology ; Cardiovascular ; Case Report ; Diagnosis, Differential ; Duodenum - injuries ; Feeding Behavior ; Foreign Bodies - complications ; Foreign Bodies - surgery ; Foreign-Body Migration - complications ; Foreign-Body Migration - surgery ; Heart Atria - diagnostic imaging ; Heart Atria - pathology ; Heart Atria - surgery ; Humans ; Male ; Middle Aged ; Pericarditis ; Pericardium - diagnostic imaging ; Pericardium - pathology ; Pericardium - surgery ; Recurrence ; Septicemia ; Thoracotomy ; Toothpick injury ; Ultrasonography ; Vena Cava, Inferior - injuries</subject><ispartof>Canadian journal of cardiology, 2009-07, Vol.25 (7), p.e263-e264</ispartof><rights>Canadian Cardiovascular Society</rights><rights>2009 Canadian Cardiovascular Society</rights><rights>2009, Pulsus Group Inc. All rights reserved</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4355-c28b1df01d97e903bb8be910780768d268f3ed9c323d077907917f8ed965e2133</citedby><cites>FETCH-LOGICAL-c4355-c28b1df01d97e903bb8be910780768d268f3ed9c323d077907917f8ed965e2133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723039/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0828282X09705185$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,3537,27901,27902,53766,53768,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19584985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lacroix, Stéphanie, BSc</creatorcontrib><creatorcontrib>Ferland, Annie, RD PhD</creatorcontrib><creatorcontrib>Gilbert, Philippe, MD MSc FRCPC</creatorcontrib><creatorcontrib>Lemieux, Michel, MD FRCS</creatorcontrib><creatorcontrib>Bilodeau, Luc, MD FACC FRCPC</creatorcontrib><creatorcontrib>Poirier, P., MD PhD FRCPC FACC FAHA</creatorcontrib><title>Cardiac hazard associated with eating habits. A case of infected intrapericardial foreign body due to an ingested toothpick</title><title>Canadian journal of cardiology</title><addtitle>Can J Cardiol</addtitle><description>An unusual case of a toothpick perforating the distal one-third of the duodenum, penetrating the inferior vena cava and thereafter migrating to the right atrium with extensive pericardial fibrosis is reported. A 60-year-old man was admitted to the emergency department because of epigastric pain, which had progressively worsened. After partial recovery, he was discharged. However, after four episodes of different gastrointestinal bacteria septicemias of unknown origin over a period of five months, the patient was transferred to Laval Hospital (Laval, Quebec) for clinical investigation. Cardiac echocardiography demonstrated a right atrial mass, suggestive of the presence of a thrombus. Thus, after exploratory thoracotomy was performed to remove the so-called thrombus, a toothpick was found in the right atrium.</description><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - etiology</subject><subject>Cardiovascular</subject><subject>Case Report</subject><subject>Diagnosis, Differential</subject><subject>Duodenum - injuries</subject><subject>Feeding Behavior</subject><subject>Foreign Bodies - complications</subject><subject>Foreign Bodies - surgery</subject><subject>Foreign-Body Migration - complications</subject><subject>Foreign-Body Migration - surgery</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - pathology</subject><subject>Heart Atria - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pericarditis</subject><subject>Pericardium - diagnostic imaging</subject><subject>Pericardium - pathology</subject><subject>Pericardium - surgery</subject><subject>Recurrence</subject><subject>Septicemia</subject><subject>Thoracotomy</subject><subject>Toothpick injury</subject><subject>Ultrasonography</subject><subject>Vena Cava, Inferior - injuries</subject><issn>0828-282X</issn><issn>1916-7075</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtvEzEURi0EoqHwE0BeIbqY4kc8tjdFVVQeUiUWgMTO8th3ErcTO9iTosCfx5NE5bFhZcv-7rnXPgg9p-ScEtq-_kQUUw1T7Osros8kEVQ14gGaUU3bRhIpHqLZfeQEPSnlhpA5lbJ9jE6oFmqulZihnwubfbAOr-yPusO2lOSCHcHj72FcYbBjiMt624WxnONL7GwBnHocYg9uioU4ZruBHNyeNOA-ZQjLiLvkd9hvAY8J21hzSyhTwZjSuNoEd_sUPertUODZcT1FX95efV68b64_vvuwuLxu3JwL0TimOup7Qr2WoAnvOtWBpkQqIlvlWat6Dl47zrgnUmoiNZW9qketAEY5P0UXB-5m263BO5gmHswmh7XNO5NsMH_fxLAyy3RnmGSccF0BL4-AnL5t6yvMOhQHw2AjpG0xrZy3lKspKA5Bl1MpGfr7JpSYSZvZazOTE0O02Wszota9-HPC31VHTzXw5hCA-k93AbIpLkB04EOuGoxP4b8tLv4huCHEKm24hR2Um7TNsUow1BRmyAEyMYjeEwT_Beeivz8</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Lacroix, Stéphanie, BSc</creator><creator>Ferland, Annie, RD PhD</creator><creator>Gilbert, Philippe, MD MSc FRCPC</creator><creator>Lemieux, Michel, MD FRCS</creator><creator>Bilodeau, Luc, MD FACC FRCPC</creator><creator>Poirier, P., MD PhD FRCPC FACC FAHA</creator><general>Elsevier Inc</general><general>Pulsus Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090701</creationdate><title>Cardiac hazard associated with eating habits. A case of infected intrapericardial foreign body due to an ingested toothpick</title><author>Lacroix, Stéphanie, BSc ; Ferland, Annie, RD PhD ; Gilbert, Philippe, MD MSc FRCPC ; Lemieux, Michel, MD FRCS ; Bilodeau, Luc, MD FACC FRCPC ; Poirier, P., MD PhD FRCPC FACC FAHA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4355-c28b1df01d97e903bb8be910780768d268f3ed9c323d077907917f8ed965e2133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - etiology</topic><topic>Cardiovascular</topic><topic>Case Report</topic><topic>Diagnosis, Differential</topic><topic>Duodenum - injuries</topic><topic>Feeding Behavior</topic><topic>Foreign Bodies - complications</topic><topic>Foreign Bodies - surgery</topic><topic>Foreign-Body Migration - complications</topic><topic>Foreign-Body Migration - surgery</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Atria - pathology</topic><topic>Heart Atria - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pericarditis</topic><topic>Pericardium - diagnostic imaging</topic><topic>Pericardium - pathology</topic><topic>Pericardium - surgery</topic><topic>Recurrence</topic><topic>Septicemia</topic><topic>Thoracotomy</topic><topic>Toothpick injury</topic><topic>Ultrasonography</topic><topic>Vena Cava, Inferior - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lacroix, Stéphanie, BSc</creatorcontrib><creatorcontrib>Ferland, Annie, RD PhD</creatorcontrib><creatorcontrib>Gilbert, Philippe, MD MSc FRCPC</creatorcontrib><creatorcontrib>Lemieux, Michel, MD FRCS</creatorcontrib><creatorcontrib>Bilodeau, Luc, MD FACC FRCPC</creatorcontrib><creatorcontrib>Poirier, P., MD PhD FRCPC FACC FAHA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lacroix, Stéphanie, BSc</au><au>Ferland, Annie, RD PhD</au><au>Gilbert, Philippe, MD MSc FRCPC</au><au>Lemieux, Michel, MD FRCS</au><au>Bilodeau, Luc, MD FACC FRCPC</au><au>Poirier, P., MD PhD FRCPC FACC FAHA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac hazard associated with eating habits. A case of infected intrapericardial foreign body due to an ingested toothpick</atitle><jtitle>Canadian journal of cardiology</jtitle><addtitle>Can J Cardiol</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>25</volume><issue>7</issue><spage>e263</spage><epage>e264</epage><pages>e263-e264</pages><issn>0828-282X</issn><eissn>1916-7075</eissn><abstract>An unusual case of a toothpick perforating the distal one-third of the duodenum, penetrating the inferior vena cava and thereafter migrating to the right atrium with extensive pericardial fibrosis is reported. A 60-year-old man was admitted to the emergency department because of epigastric pain, which had progressively worsened. After partial recovery, he was discharged. However, after four episodes of different gastrointestinal bacteria septicemias of unknown origin over a period of five months, the patient was transferred to Laval Hospital (Laval, Quebec) for clinical investigation. Cardiac echocardiography demonstrated a right atrial mass, suggestive of the presence of a thrombus. Thus, after exploratory thoracotomy was performed to remove the so-called thrombus, a toothpick was found in the right atrium.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>19584985</pmid><doi>10.1016/S0828-282X(09)70518-5</doi><oa>free_for_read</oa></addata></record> |
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subjects | Abdominal Pain - diagnosis Abdominal Pain - etiology Cardiovascular Case Report Diagnosis, Differential Duodenum - injuries Feeding Behavior Foreign Bodies - complications Foreign Bodies - surgery Foreign-Body Migration - complications Foreign-Body Migration - surgery Heart Atria - diagnostic imaging Heart Atria - pathology Heart Atria - surgery Humans Male Middle Aged Pericarditis Pericardium - diagnostic imaging Pericardium - pathology Pericardium - surgery Recurrence Septicemia Thoracotomy Toothpick injury Ultrasonography Vena Cava, Inferior - injuries |
title | Cardiac hazard associated with eating habits. A case of infected intrapericardial foreign body due to an ingested toothpick |
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