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

  • Shigeo Kanazawa
  • Katsu Ishigaki
  • Takashi Miyake
  • Atsuhisa Ishida
  • Atsushi Tabuchi
  • Kazuo Tanemoto
  • Tsukasa Tsunoda

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 abscess Foreign body in liver Toothpick 

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Shigeo Kanazawa
    • 1
  • Katsu Ishigaki
    • 2
  • Takashi Miyake
    • 3
  • Atsuhisa Ishida
    • 3
  • Atsushi Tabuchi
    • 3
  • Kazuo Tanemoto
    • 3
  • Tsukasa Tsunoda
    • 4
  1. 1. Department of Surgery, Ishikawa General Hospital, 784 Bessho, Himeji, Hyogo 671-0221, JapanJP
  2. 2. Department of Surgery, Mitsugi General Hospital, Mitsugi, JapanJP
  3. 3. Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, JapanJP
  4. 4. Department of Gastroenterological Surgery, Kawasaki Medical School, Kurashiki, JapanJP

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