ArticleWorld journal of clinical cases2023
Pyogenic liver abscess secondary to gastric perforation of an ingested toothpick: A case report.
Article in World journal of clinical cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Pyogenic liver abscess caused by trans-gastric migration of a toothpick managed with laparoscopic left lateral sectionectomy and gastric perforation repair: a case report.Frontiers in surgery · 2026Article
- Liver abscess secondary to ingested cocktail stick: a case of minimally invasive management.Journal of surgical case reports · 2025Article
- Emergency Laparoscopic Removal of an Ingested Fishbone Perforating the Stomach After Endoscopy: A Case Report.Cureus · 2025Article
- Minimally Invasive Interventional Therapy for Liver Abscess with Bloodstream Infection Caused by a Fishbone Perforation of the Stomach Wall: A Case Report.Infection and drug resistance · 2025Article
- Migrated toothpick causing a hepatic abscess with portal vein thrombosis: A case report and review of literature.Clinical case reports · 2024Article
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Authors and funding
8 authors at 1 institution in 1 country.
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Abstract
backgroundLiver abscess due to foreign body-induced gastrointestinal tract perforation is a rare event that could be misdiagnosed due to low suspicion. Less than 100 cases have been reported to date. CASE SUMMARY: We report a case of a 53-year old female patient with pyogenic liver abscess secondary to ingestion of a toothpick with penetration through the lesser curvature of the stomach. The patient presented with persistent epigastric pain. Abdominal computed tomography demonstrated the presence of a linear radiopaque object associated with abscess formation in the left liver lobe. Inflammatory changes in the lesser curvature of the stomach indicated gastric wall penetration by the object. As the abscess was refractory to antibiotic treatment, laparoscopic liver resection was performed to remove the foreign body and adjacent liver parenchyma. Following surgery, symptoms fully resolved without any sequelae.
conclusionThis rare case demonstrates the importance of considering foreign body penetration as a cause of pyogenic liver abscess, particularly in abscesses of unknown origin that are resistant to antibiotic therapy. Clinical suspicion, early diagnosis, and prompt removal of the foreign body could lead to improved outcomes in these patients.
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