Clin Endosc.  2014 Mar;47(2):188-191. 10.5946/ce.2014.47.2.188.

An Unusual Case of Duodenal Perforation Caused by a Lollipop Stick: A Case Report

• Cho EA
• Lee DH
• Hong HJ
• Park CH
• Park SY
• Kim HS
• Choi SK
• Rew JS

• KMID: 2049008
• DOI: http://doi.org/10.5946/ce.2014.47.2.188

Abstract

Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation do occur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, we report an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to the emergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomography scans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient was not aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed with forceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.

Keyword

Foreign bodies; Perforation; Endoscopy

MeSH Terms

Chickens
Duodenum
Emergency Service, Hospital
Endoscopy
Female
Foreign Bodies
Gastrointestinal Tract
Humans
Inflammation
Needles
SNARE Proteins
Surgical Instruments
Young Adult
SNARE Proteins

Figure

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  Fig. 1 (A-C) Computed tomography findings. A stick-like foreign body was observed in the duodenum (white arrow). Mottled air density was observed around the third portion of the duodenum (black arrow).

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  Fig. 2 Endoscopic findings. (A, B) A lollipop stick was removed by using rat-tooth forceps. (C) A proximal small ulcer with exudates was observed in the third portion of the duodenum. (D) A distal ulcer with air bubble was observed in the third portion of the duodenum. (E) Five hemoclips were applied to the margin of the duodenal perforation. (F) A detachable snare was used to approximate the ends of the perforation.

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