The patient gave a history of swallowing a toothpick 7 days prior. 

80%-90% of ingested foreign bodies pass through the gut without complication. When symptoms arise they are usually secondary to obstruction. Gastrointestinal perforation has been reported in <1% of patients and the most commonly affected areas are the ileocecal, rectosigmoid and duodenum.

Development of hepatic abscess due to penetration induced by a foreign body is even more rare, with a few reported cases.