Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature

Intraabdominal abscess due to gastric perforation by a foreign body is rare and may be fatal. In such cases, diagnosis is usually difficult due to non-specific symptoms and failure to remember the ingestion event by the patient as well as low clinical suspicion by the physician. This article demonst...

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Main Authors: Sumaya A. Alkhulaifi, Mohannad K. Saffaf, Abdullah S. Aldarwish, Sami Alhawassi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-04-01
Series:Dr. Sulaiman Al Habib Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/DSHMJ.DSHMJ_20_24
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author Sumaya A. Alkhulaifi
Mohannad K. Saffaf
Abdullah S. Aldarwish
Sami Alhawassi
author_facet Sumaya A. Alkhulaifi
Mohannad K. Saffaf
Abdullah S. Aldarwish
Sami Alhawassi
author_sort Sumaya A. Alkhulaifi
collection DOAJ
description Intraabdominal abscess due to gastric perforation by a foreign body is rare and may be fatal. In such cases, diagnosis is usually difficult due to non-specific symptoms and failure to remember the ingestion event by the patient as well as low clinical suspicion by the physician. This article demonstrates a rare case of gastro-hepatic recess abscess secondary to a toothpick perforating the lesser curvature of the stomach, diagnosed by a computed tomography scan. Laparoscopy was performed to drain the abscess and extract the foreign body without complications; the patient made a complete uncomplicated recovery. Our case highlighted the clinical challenges in the diagnosis and treatment of such rare cases.
format Article
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institution Kabale University
issn 2666-819X
2590-3349
language English
publishDate 2024-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Dr. Sulaiman Al Habib Medical Journal
spelling doaj-art-bc8def449820465a8ffed899e12503bb2025-08-21T05:00:11ZengWolters Kluwer Medknow PublicationsDr. Sulaiman Al Habib Medical Journal2666-819X2590-33492024-04-0162767810.4103/DSHMJ.DSHMJ_20_24Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the LiteratureSumaya A. AlkhulaifiMohannad K. SaffafAbdullah S. AldarwishSami AlhawassiIntraabdominal abscess due to gastric perforation by a foreign body is rare and may be fatal. In such cases, diagnosis is usually difficult due to non-specific symptoms and failure to remember the ingestion event by the patient as well as low clinical suspicion by the physician. This article demonstrates a rare case of gastro-hepatic recess abscess secondary to a toothpick perforating the lesser curvature of the stomach, diagnosed by a computed tomography scan. Laparoscopy was performed to drain the abscess and extract the foreign body without complications; the patient made a complete uncomplicated recovery. Our case highlighted the clinical challenges in the diagnosis and treatment of such rare cases.https://journals.lww.com/10.4103/DSHMJ.DSHMJ_20_24gastric perforationgastro-hepatic recess abscesstoothpick
spellingShingle Sumaya A. Alkhulaifi
Mohannad K. Saffaf
Abdullah S. Aldarwish
Sami Alhawassi
Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
Dr. Sulaiman Al Habib Medical Journal
gastric perforation
gastro-hepatic recess abscess
toothpick
title Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
title_full Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
title_fullStr Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
title_full_unstemmed Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
title_short Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
title_sort toothpick perforation of the stomach causing gastro hepatic recess abscess treated by laparoscopy a case report and review of the literature
topic gastric perforation
gastro-hepatic recess abscess
toothpick
url https://journals.lww.com/10.4103/DSHMJ.DSHMJ_20_24
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AT mohannadksaffaf toothpickperforationofthestomachcausinggastrohepaticrecessabscesstreatedbylaparoscopyacasereportandreviewoftheliterature
AT abdullahsaldarwish toothpickperforationofthestomachcausinggastrohepaticrecessabscesstreatedbylaparoscopyacasereportandreviewoftheliterature
AT samialhawassi toothpickperforationofthestomachcausinggastrohepaticrecessabscesstreatedbylaparoscopyacasereportandreviewoftheliterature