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Ann Thorac Surg 1994;57:489-490
© 1994 The Society of Thoracic Surgeons


Articles

Constrictive pericarditis due to ingestion of a toothpick

Bart P. Meyns, MD*, Bernard C. Faveere, MD, Frans J. Van de Werf, MD, Gustave Dotremont, MD, Wim J. Daenen, MD

Departments of Cardiac Surgery and Cardiology, Gasthuisberg University Hospital, Leuven, Belgium

Accepted for publication June 9, 1993.

* Address reprint requests to Dr Meyns, Department of Cardiac Surgery, Gasthuisberg University Hospital, Herestraat, 3000 Leuven, Belgium.

A case of a 53-year-old man with constructive pericarditis due to the ingestion of a toothpick is presented. Computed tomography was unable to show the toothpick, and the diagnosis was made during the operation. Ingested toothpicks have often been reported as a cause of gastrointestinal injuries but in this rare case a toothpick actually migrated into the pericardium.




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