{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:29:18Z","timestamp":1770740958913,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T00:00:00Z","timestamp":1694995200000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Bowel perforation is an emergency condition that requires critical thinking and readily intervention; nevertheless, on occasions, its presentation can be challenging to diagnose. Several etiologies could cause bowel perforation, including obstruction, mass, inflammation, ischemia, etc. On rare occasions, a foreign body could be the cause of perforation, which mandates a detailed history and focused review of the images when the patient\u2019s condition allows. We report a case of ileal perforation caused by an ingested wooden toothpick that was suspected on the CT images, which the patient has no memory of ingesting.<\/jats:p>","DOI":"10.1093\/jscr\/rjad511","type":"journal-article","created":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T23:49:59Z","timestamp":1695080999000},"source":"Crossref","is-referenced-by-count":2,"title":["Toothpick perforates small bowel-mimicking diverticulitis"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8255-982X","authenticated-orcid":false,"given":"Ahmed A","family":"Fallatah","sequence":"first","affiliation":[{"name":"Trauma and Acute Care Surgery Unit , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"},{"name":"College of Medicine, King Saud University , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"},{"name":"General Surgery Section , Department of Surgery, , P.O Box 3665 Jeddah 22421 , Saudi Arabia"},{"name":"King Abdulaziz Hospital, Ministry of Health , Department of Surgery, , P.O Box 3665 Jeddah 22421 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Mashbari","sequence":"additional","affiliation":[{"name":"Department of Surgery , Faculty of Medicine, , P.O Box 6809 Jazan 82817-28204 , Saudi Arabia"},{"name":"Jazan University , Faculty of Medicine, , P.O Box 6809 Jazan 82817-28204 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hatoon","family":"Daghestani","sequence":"additional","affiliation":[{"name":"Trauma and Acute Care Surgery Unit , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"},{"name":"College of Medicine, King Saud University , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Mostafa","sequence":"additional","affiliation":[{"name":"College of Medicine, Sulaiman Al Rajhi University , P.O Box 777 Albukairiyah 51941 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawaf","family":"Alshahwan","sequence":"additional","affiliation":[{"name":"Trauma and Acute Care Surgery Unit , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"},{"name":"College of Medicine, King Saud University , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Alburakan","sequence":"additional","affiliation":[{"name":"Trauma and Acute Care Surgery Unit , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"},{"name":"College of Medicine, King Saud University , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thamer","family":"Nouh","sequence":"additional","affiliation":[{"name":"Trauma and Acute Care Surgery Unit , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"},{"name":"College of Medicine, King Saud University , Department of Surgery, , P.O Box 2925 Riyadh 11461 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,18]]},"reference":[{"key":"2023091823494906800_ref1","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1016\/j.radcr.2020.07.034","article-title":"Toothpick\u2014a rare cause of bowel perforation: case report and literature review","volume":"15","author":"Vo","year":"2020","journal-title":"Radiol Case Rep"},{"key":"2023091823494906800_ref2","doi-asserted-by":"crossref","first-page":"e9066","DOI":"10.1097\/MD.0000000000009066","article-title":"Gastrointestinal perforation secondary to accidental ingestion of toothpicks","volume":"96","author":"Yang","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"2023091823494906800_ref3","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.107945","article-title":"Accidentally ingested wooden toothpick, perforation of a sigmoid diverticulum and mimicking acute colonic diverticulitis: a case report and literature review","volume":"104","author":"Evola","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"2023091823494906800_ref4","doi-asserted-by":"crossref","first-page":"157","DOI":"10.3393\/ac.2018.04.23","article-title":"Toothpick colon injury mimicking colonic diverticulitis","volume":"34","author":"Jo","year":"2018","journal-title":"Ann Coloproctol"},{"key":"2023091823494906800_ref5","doi-asserted-by":"crossref","first-page":"e16489","DOI":"10.1097\/MD.0000000000016489","article-title":"Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis","volume":"98","author":"Ma","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"2023091823494906800_ref6","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1590\/0100-3984.2015.0127","article-title":"Intestinal perforation by an ingested foreign 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