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Hepatic inflammatory mass secondary to toothpick perforation of the stomach: triphasic CT appearances
1Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine and School of Medical Technology, Chang Gung University, 5 Fu-Hsing Road, Kwei-Shan Hsiang, Tao Yuan, Taiwan.
Abstract:
Unintentional ingestion of foreign bodies is common in daily life. The unintentional ingestion of sharp foreign bodies such as toothpicks, fish bones and chicken bones carries a significant risk of perforation of the gastrointestinal tract. Herein, we report a case of hepatic inflammatory mass complicated by the perforation of an ingested toothpick that had a distinctive enhancement pattern on dynamic computed tomograms (CT). Understanding the phenomenon of enhancement in triphasic CT study is the basis in differentiating liver neoplasms.