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Wednesday 2 January 2019

CASE 531: TOOTHPICK PERFORATING SPLEEN, Dr PHAN THANH HAI, Dr LE VAN TAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Man 46 yo  with epigastric pain,  gastroscopic result is  gastritis but being treated with  no response. 
Ultrasound of abdomen   detected  foreign body ( fb) intra the spleen that looked like the toothpick
US 1  the  fb is long 5 cm  intra central hilus the pleen to peripheral,  (US 1  crossed-section).


US  2 with CDI vascular of spleen.


US 3 :  hilus the spleen.


US 4 video.



Blood test is normal.  Colonoscopy is normal.
MSCT of abdomen  confirmed the  toothpick in penetration of the spleen, from the gastric wall to hilus of pleen.


Operation  removed toothpick in hilus of spleen,
as views by via ultrasound and CT.

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