Work

Migrated toothpick causing a hepatic abscess with portal vein thrombosis: A case report and review of literature

Year: 2024

Type: article

Abstract: Key Clinical Message: Accidental foreign body ingestion is the most common hidden cause of abdominal pain. A high index of suspicion should be implemented in patients with unresolved abdominal pain. Here we reported a 54-year-old patient with vague abdominal pain who had a successful laparoscopic removal of a toothpick. Abstract: Toothpicks and fish bones are considered one of the most common accidentally ingested foreign bodies. Fortunately, most patients are asymptomatic. About 80%-90% of ingested foreign bodies pass through the gut spontaneously within a week. We present a case of a 54-year-old female with chronic epigastric pain and fever found to have a foreign body (toothpick) that penetrated the stomach and migrated to the liver causing liver abscess with portal vein thrombosis. The patient was managed with laparoscopic removal of the foreign body with an uneventful postoperative course.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.9332

Authors: Faisal Joueidi, Ali A. Alzahrani, Abdulaziz A. Altaweel, Omar Alwhaibi, Ahmed Elgohary, Khalid O. Bin Saad