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Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick.

Narmeen Asif¹, Salva Shariq¹, Abdul Rehman Alvi¹

¹Aga Khan University Hospital, Karachi, Pakistan.

International Journal of Surgery Case Reports

|December 12, 2023

Summary

Toothpick ingestion can cause serious bowel perforation. Early diagnosis using CT scans and laparoscopy is crucial for timely treatment of this rare but dangerous condition.

Keywords:

Foreign bodies Ingested toothpick Peritonitis Resection and anastomosis

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Area of Science:

Gastroenterology
Surgical Emergencies

Background:

Bowel perforation is a critical medical emergency.
Sharp foreign objects, such as toothpicks, can cause intestinal impaction, obstruction, or perforation.

Observation:

A 20-year-old male presented with acute abdominal pain and tenderness.
Contrast-enhanced computed tomography (CECT) suggested small intestine inflammation due to a foreign object.
Diagnostic laparoscopy revealed a hyperemic terminal ileum.

Findings:

Ileal perforation occurred due to unnoticed toothpick ingestion.
Foreign object perforations are diagnostically challenging and prone to misdiagnosis.
CT scans are highly effective for detecting toothpicks; laparoscopy provides definitive diagnosis.

Implications:

Prompt consideration of toothpick ingestion in acute abdominal cases is vital.
Timely diagnosis and treatment can prevent life-threatening outcomes.
Treatment strategies range from laparoscopic suturing to intestinal resection.