An unexpected cause of abdominal pain: a case report of a toothpick in the liver successfully treated with gastroendoscopy
Publication Type
Case report
Authors
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Foreign body ingestion is a frequent occurrence in emergency departments, with most cases resolving without complications. However,sharp objects like toothpicks carry a higher risk of serious outcomes, including perforation and abscess formation. In this case, we arepresenting a 62-year-old male patient who arrived at the emergency department with severe right upper quadrant abdominal painand fever. Despite the absence of signs of gastrointestinal perforation or peritonitis, imaging revealed a toothpick penetrating both thestomach and liver, with no evidence of abscess formation. The toothpick was successfully removed using a gastroscopic approach. Thiscase highlights an unusual condition where a foreign body migrated to the liver, yet the patient was successfully managed through anon-surgical, minimally invasive approach. Early diagnosis and minimally invasive intervention can lead to favorable outcomes withoutthe need for invasive procedures.
 

Journal
Title
Journal of Surgical Case Reports
Publisher
Oxford University Press
Publisher Country
United Kingdom
Indexing
Scopus
Impact Factor
0.4
Publication Type
Online only
Volume
2025
Year
2025
Pages
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