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
Hauptverfasser: 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
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container_issue 7
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container_title Canadian journal of cardiology
container_volume 25
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.
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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. 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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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