![]() Both 2 patients in our report could not recall having ingested foreign bodies. However, any delay in diagnosis could have been potentially fatal. The woman in case 2 was not checked out any key problem in the first 4 days and was treated reasonably until coming to our department. Fortunately, the toothpick did not cause greater damage, and the patient had a good postoperative recovery. The man in case 1 was misdiagnosed due to mild symptoms and careless imaging. The toothpick is approximately 6 cm (Fig. In the intraoperative probe, we found a bamboo toothpick penetrating the splenic flexure of the transverse colon wall into the pancreatic tail and obvious adhesion of the surrounding tissue (Fig. The contrast-enhanced CT scan of the abdomen revealed a linear high-density shadow penetrating the descending colon and pointing to the tail of the pancreas with secondary surrounding inflammation (Fig. Emergency laboratory evaluation revealed a blood amylase value of 105.0 U/L, a white blood cell count of 16 × 10 9/L, and a granulocyte count of 12.1 × 10 9/L (79.1%), while other relevant laboratory data were within reference values. ![]() No problem was found in the local hospital and then she was transferred to our hospital. There was deep tenderness in her left epigastrium without rebound pain and signs of peritonitis. When informed of this unusual finding during his follow-up, he recalled the probable accidental ingestion of a toothpick after drinking.Ī middle-aged woman suddenly suffered from a durative colic in left upper abdomen for 4 days without any radiation. The patient made an uneventful postoperative recovery. The toothpick was successfully removed by snare extraction without complications. The patient was taken to the operating room and underwent exploratory laparotomy, which revealed a wooden toothpick perforating intestinal wall with one end into the left liver lobe and the other end into the duodenum with surrounding inflammation and adhesion. However, ultrasound (US) and abdominal computed tomography (CT) scans showed a linear shadow in the left liver lobe. After admission, there was no obvious tenderness or mass in his abdomen during the body check-up. The mimic blunt pain relapsed after drinking. The pain from epigastrium to hypogastrium could be relieved by the management of omeprazole pills (20 mg/day) for a few days. Abdominal x-ray showed nothing abnormal before admission. A 33-year-old man presented to our facility with chronic mild transferable abdominal pain 2 months after having a midnight snack.
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