Presentation
Severe pain with tenderness of the right iliac fossa.
Patient Data
The CT scan demonstrates a linear opaque foreign body (length = 6 cm), piercing the sigmoid wall which is thickened with extraluminal gas, severe perisigmoid fat stranding, and thickening of the adjacent peritoneal reflections.
Peroperative video during the toothpick extraction from the sigmoid colon.
Case Discussion
CT features most consistent with a foreign body perforating the sigmoid colon with signs of focal peritonitis. At surgery, the foreign body was a toothpick which was confirmed later by the patient that was ingested accidentally a few days ago.
Digestive tract perforation secondary to incidental toothpick ingestion was already described in the literature 1,2.
Thanks to Dr L. Meklid, MD, general surgeon, Ain Touta hospital, Batna, Algeria
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