Surgery Today

, Volume 33, Issue 4, pp 312–314

A Granulomatous Liver Abscess Which Developed After a Toothpick Penetrated the Gastrointestinal Tract: Report of a Case

Authors

  • Shigeo Kanazawa
    •  Department of Surgery, Ishikawa General Hospital, 784 Bessho, Himeji, Hyogo 671-0221, Japan
  • Katsu Ishigaki
    •  Department of Surgery, Mitsugi General Hospital, Mitsugi, Japan
  • Takashi Miyake
    •  Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • Atsuhisa Ishida
    •  Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • Atsushi Tabuchi
    •  Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • Kazuo Tanemoto
    •  Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • Tsukasa Tsunoda
    •  Department of Gastroenterological Surgery, Kawasaki Medical School, Kurashiki, Japan

DOI: 10.1007/s005950300071

Cite this article as:
Kanazawa, S., Ishigaki, K., Miyake, T. et al. Surg Today (2003) 33: 312. doi:10.1007/s005950300071

Abstract.

An unusual case of a toothpick perforating the stomach, then penetrating the liver, and thereafter forming a liver abscess is reported. A 48-year-old woman who had ingested a toothpick 1 month earlier was admitted to our hospital because of severe epigastralgia which had progressively worsened. A laparotomy was performed because a granulomatous abscess in the liver due to this ingested foreign body was suspected. We found a granulomatous abscess in the liver due to the penetration of the toothpick through the stomach. The toothpick had become completely embedded about 2 cm deep in the left lobe of the liver. When dissecting the tumor, a 5.5-cm toothpick was removed, and a partial lateral resection of the liver was performed. The histological diagnosis was a hepatic abscess with granulomatous change. This was a rare case of a migration of an ingested toothpick into the liver through the stomach.

Key words Liver abscessForeign body in liverToothpick

Copyright information

© Springer-Verlag 2003