Evidence map›Paper›PMID 40321639›Full record

ArticleJournal of surgical case reports2025

An unexpected cause of abdominal pain: a case report of a toothpick in the liver successfully treated with gastroendoscopy.

Bakr F Alawna, Ahmad Nouri, Bahaa Arafat, Islam Rajab, Qusay Abdoh

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bakr F AlawnaDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Al-Junied Street, Nablus 44839, Palestine.ORCID https://orcid.org/0009-0002-8079-9168
Ahmad NouriDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Al-Junied Street, Nablus 44839, Palestine.ORCID https://orcid.org/0009-0002-6397-8033
Bahaa ArafatDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Al-Junied Street, Nablus 44839, Palestine.ORCID https://orcid.org/0009-0006-0660-2178
Islam RajabDepartment of Internal Medicine, St. Joseph's University Medical Center, 703 Main Street, Paterson, New Jersey 07503, United States.ORCID https://orcid.org/0009-0003-6539-0417
Qusay AbdohDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Al-Junied Street, Nablus 44839, Palestine.ORCID https://orcid.org/0009-0001-4356-8240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Foreign body ingestion is a frequent occurrence in emergency departments, with most cases resolving without complications. However, sharp objects like toothpicks carry a higher risk of serious outcomes, including perforation and abscess formation. In this case, we are presenting a 62-year-old male patient who arrived at the emergency department with severe right upper quadrant abdominal pain and fever. Despite the absence of signs of gastrointestinal perforation or peritonitis, imaging revealed a toothpick penetrating both the stomach and liver, with no evidence of abscess formation. The toothpick was successfully removed using a gastroscopic approach. This case highlights an unusual condition where a foreign body migrated to the liver, yet the patient was successfully managed through a non-surgical, minimally invasive approach. Early diagnosis and minimally invasive intervention can lead to favorable outcomes without the need for invasive procedures.

Indexed as

endoscopic removalhepatic foreign bodyperforationtoothpick

Identifiers

PMID40321639
PMCPMC12050014

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.