Korean J Gastrointest Endosc.  2003 Jul;27(1):42-45.

A Case of Duodeno-cecal Fistula Developed due to Foreign Body

• Chung WJ
• Park HW
• Hwang JY
• Park KS
• Cho KB
• Hwang JS
• Ahn SH
• Park SK

Abstract

Gastrointestinal foreign bodies are a common problem. It can be managed by observation, endoscopic removal, and/or surgical intervention. Bowel perforation, obstruction, bleeding, fistularization and abscess formation are common significant complications associated with foreign bodies.A 38-year-old woman with a toothbrush in the duodenum was referred to our hospital due to abdominal pain. Three years ago, she ingested a tooth brush. Esophagogastroduodenoscopy showed a tooth brush placed in the second portion of the duodenum. We removed a tooth brush by a snare and found a fistula at the junction of the second and third portion of the duodenum. Upper gastrointestinal series revealed a fistula between the duodenum and cecum. We report a case of duodeno-cecal fistula developed due to a toothbrush ingested 3 years before.

Keyword

Foreign body; Fistula; Duodenum; Cecum

MeSH Terms

Abdominal Pain
Abscess
Adult
Cecum
Duodenum
Endoscopy, Digestive System
Female
Fistula*
Foreign Bodies*
Hemorrhage
Humans
SNARE Proteins
Tooth
SNARE Proteins