@article{ref1,
title="Small bowel perforation by toothpick",
journal="BMJ case reports",
year="2018",
author="Lai, Carol Man Sze and Lui, Tun Hing",
volume="2018",
number="ePub",
pages="ePub-ePub",
abstract="Toothpick ingestion is a rare but potentially fatal condition which may cause bowel perforation and rare complications if it migrates out of the gastrointestinal tract. This case report describes a delayed presentation of toothpick-induced small bowel injury leading to abdominal wall abscess and spondylodiscitis. A 51-year-old man was admitted twice with fever and loin pain, but repeated non-contrast CT was reported to be unremarkable. However, 5 months later, he presented with a left lower quadrant abdominal wall abscess and back pain. An updated CT showed a linear hyperdensity which was already present in previous scans, causing small bowel perforation, abdominal wall abscess and spondylodiscitis. Emergency laparotomy identified a toothpick causing small bowel perforation. The abdominal wall abscess was incised and drained, and small bowel was repaired.<br><br>© BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.<p /> <p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2018-225258",
url="http://dx.doi.org/10.1136/bcr-2018-225258"
}