Unusual Differential Diagnosis of Upper Abdominal Pain
2009

Unusual Case of Upper Abdominal Pain from Toothpick Ingestion

Sample size: 1 publication Evidence: low

Author Information

Author(s): Monika Lanthaler, Thomas Grissmann, Lukas Schwentner, Hermann Nehoda

Primary Institution: Innsbruck Medical University Hospital

Hypothesis

Can toothpick ingestion lead to serious abdominal complications?

Conclusion

Toothpick ingestion can cause gastric perforation and subsequent liver abscess formation, which may require surgical intervention.

Supporting Evidence

  • Toothpick ingestion is a rare cause of upper abdominal pain.
  • The patient developed a liver abscess after initial treatment.
  • Endoscopic removal of the toothpick provided immediate pain relief.
  • Subsequent complications required further treatment and surgery.

Takeaway

A man accidentally swallowed a toothpick, which caused pain and led to serious health issues, but he got better after treatment.

Methodology

The case involved endoscopic removal of the toothpick, followed by monitoring and treatment of complications with antibiotics and surgery.

Limitations

The case is based on a single patient, limiting generalizability.

Participant Demographics

38-year-old male, healthy, white Caucasian.

Digital Object Identifier (DOI)

10.1155/2009/817052

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