Patient: Male, 18
Final Diagnosis: Perforation
Symptoms: Abdominal pain
Medication: —
Clinical Procedure: Endoscopy
Specialty: Surgery
Toothpick ingestion is implicated in bowel injuries that may cause violent complications, mimicking diseases causing acute abdomen.
A 18-year-old man was admitted with a 3-day history of a swallowed wooden toothpick. The patient had tenderness in the left flank area. Computed tomography indicated toothpick impaction at the splenic flexura of the colon. It was successfully removed with colonoscopy. After the procedure, abdominal radiography showed free air as a sign of perforation. Along with conservative management, the patient was discharged without surgery.