{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:04:42Z","timestamp":1778864682344,"version":"3.51.4"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T00:00:00Z","timestamp":1701648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Bowel perforation is a serious emergency. Occasionally, sharp objects like toothpicks can get stuck in narrow parts of the small intestine, potentially resulting in impaction, obstruction, or perforation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 20-year-old male arrived at our hospital's emergency department with sudden, severe abdominal pain persisting for 24 h. On examination, his abdomen showed tenderness, and bowel sounds were reduced. Contrast-enhanced computed tomography (CECT) indicated possible small intestine inflammation due to a foreign object and a diagnostic laparoscopy revealed a hyperemic terminal ileum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>This case involves ileal perforation from an unnoticed toothpick ingestion. Detecting foreign object perforations is challenging, often leading to misdiagnoses and CT scans are the most effective for toothpick detection. Definitive diagnosis is through laparoscopy, and treatment varies between laparoscopic suturing to intestinal resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Healthcare providers must consider toothpick ingestion in cases of acute abdominal symptoms to avert treatment delays and potential life-threatening outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109100","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T18:03:50Z","timestamp":1701799430000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick"],"prefix":"10.1097","volume":"114","author":[{"given":"Narmeen","family":"Asif","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salva","family":"Shariq","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Rehman","family":"Alvi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-16-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2022.107841","article-title":"Perforation of ileum by unnoticed toothpick ingestion presenting as acute appendicitis: a case report","volume":"102","author":"Majjad,","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"issue":"10","key":"R2-16-20260325","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1016\/j.radcr.2020.07.034","article-title":"Toothpick-a rare cause of bowel perforation: case report and literature review","volume":"15","author":"Vo,","year":"2020","journal-title":"Radiol. Case Rep."},{"issue":"1","key":"R3-16-20260325","first-page":"97","article-title":"A toothpick a day, keeps the doctor away?","volume":"82","author":"Depoorter,","year":"2019","journal-title":"Acta Gastroenterol. Belg."},{"key":"R4-16-20260325","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg."},{"issue":"Suppl","key":"R5-16-20260325","doi-asserted-by":"crossref","first-page":"S109","DOI":"10.1016\/j.ijscr.2020.09.056","article-title":"Laparoscopic treatment of right colic flexure perforation by an ingested wooden toothpick","volume":"77S","author":"Casoni Pattacini,","year":"2020","journal-title":"Int. J. Surg. Case Rep."},{"issue":"4","key":"R6-16-20260325","first-page":"330","article-title":"Dual site intestinal perforation due to toothpick","volume":"40","author":"Ossola,","year":"2019","journal-title":"G. Chir."},{"key":"R7-16-20260325","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ijscr.2019.10.018","article-title":"Successful treatment with laparoscopy-assisted surgery for ileal perforation due to an ingested foreign body: a report of two cases","volume":"64","author":"Ito,","year":"2019","journal-title":"Int. J. Surg. Case Rep."},{"issue":"4","key":"R8-16-20260325","doi-asserted-by":"crossref","first-page":"274","DOI":"10.34172\/aim.2022.44","article-title":"A patient with acute abdominal pain caused by an unnoticed swallowed toothpick misdiagnosed as acute appendicitis","volume":"25","author":"Yao,","year":"2022","journal-title":"Arch. Iran. Med."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223012294?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223012294?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:13:34Z","timestamp":1774433614000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109100","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-11-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}