Surgery Today

, Volume 33, Issue 4, pp 312-314

First online:

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

  • Shigeo KanazawaAffiliated with Department of Surgery, Ishikawa General Hospital, 784 Bessho, Himeji, Hyogo 671-0221, Japan
  • , Katsu IshigakiAffiliated with Department of Surgery, Mitsugi General Hospital, Mitsugi, Japan
  • , Takashi MiyakeAffiliated with Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • , Atsuhisa IshidaAffiliated with Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • , Atsushi TabuchiAffiliated with Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • , Kazuo TanemotoAffiliated with Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan
  • , Tsukasa TsunodaAffiliated with Department of Gastroenterological Surgery, Kawasaki Medical School, Kurashiki, Japan

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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 abscess Foreign body in liver Toothpick