• BMJ case reports · Jun 2017

    Case Reports

    Toothpick-induced aortoenteric fistula presenting as sepsis.

    • Elizabeth Liao, Martin Simons, Leonard W Tse, and Graham Roche-Nagle.
    • Faculty of Medicine, University of Toronto, Toronto, Canada.
    • BMJ Case Rep. 2017 Jun 13; 2017.

    AbstractAortoenteric fistulas (AEF) are a rare but life-threatening cause of gastrointestinal (GI) bleeding. We present the case of a primary AEF caused by ingestion of a toothpick by a 47-year-old male. This is the 10th known case in the literature in which a foreign body was found to be the cause of a communication between the aorta and the GI tract. Most foreign objects have been sewing needles; this is the first known case of a toothpick penetration. The patient presented to our institution with polymicrobial sepsis and bilateral pulmonary septic emboli. The patient was successfully treated but required multiple interventions and a prolonged intensive care unit admission.© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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