{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T08:16:15Z","timestamp":1782461775302,"version":"3.54.5"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Foreign body ingestion is a frequent occurrence in emergency departments, with most cases resolving without complications. However, sharp objects like toothpicks carry a higher risk of serious outcomes, including perforation and abscess formation. In this case, we are presenting a 62-year-old male patient who arrived at the emergency department with severe right upper quadrant abdominal pain and fever. Despite the absence of signs of gastrointestinal perforation or peritonitis, imaging revealed a toothpick penetrating both the stomach and liver, with no evidence of abscess formation. The toothpick was successfully removed using a gastroscopic approach. This case highlights an unusual condition where a foreign body migrated to the liver, yet the patient was successfully managed through a non-surgical, minimally invasive approach. Early diagnosis and minimally invasive intervention can lead to favorable outcomes without the need for invasive procedures.<\/jats:p>","DOI":"10.1093\/jscr\/rjae851","type":"journal-article","created":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T16:14:36Z","timestamp":1746375276000},"source":"Crossref","is-referenced-by-count":2,"title":["An unexpected cause of abdominal pain: a case report of a toothpick in the liver successfully treated with gastroendoscopy"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8079-9168","authenticated-orcid":false,"given":"Bakr F","family":"Alawna","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University , Al-Junied Street, Nablus 44839 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6397-8033","authenticated-orcid":false,"given":"Ahmad","family":"Nouri","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University , Al-Junied Street, Nablus 44839 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0660-2178","authenticated-orcid":false,"given":"Bahaa","family":"Arafat","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University , Al-Junied Street, Nablus 44839 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6539-0417","authenticated-orcid":false,"given":"Islam","family":"Rajab","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. Joseph's University Medical Center , 703 Main Street, Paterson, New Jersey 07503,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4356-8240","authenticated-orcid":false,"given":"Qusay","family":"Abdoh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University , Al-Junied Street, Nablus 44839 ,","place":["Palestine"]},{"name":"Department of Gastroenterology, An-Najah National University Hospital , Asira Street, Nablus 44839 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,4]]},"reference":[{"key":"2025050412143085200_ref1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.2484\/rcr.v2i1.52","article-title":"Computed tomographic detection of toothpick perforation of the jejunum: case report and review of the 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A case series report","volume":"95","author":"Mejri","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"2025050412143085200_ref11","article-title":"Gastrointestinal tract perforations due to ingested foreign bodies; a review of 21 cases","volume":"5","author":"Sarmast","year":"2012","journal-title":"BJMP"},{"key":"2025050412143085200_ref12","doi-asserted-by":"publisher","first-page":"3703","DOI":"10.3748\/wjg.v20.i13.3703","article-title":"Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: a case report and literature review","volume":"20","author":"Chong","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025050412143085200_ref13","doi-asserted-by":"publisher","first-page":"4278","DOI":"10.3748\/wjg.v13.i31.4278","article-title":"Correct diagnosis and successful treatment for pericardial effusion due to toothpick injury: a case report and literature review","volume":"13","author":"Liu","year":"2007","journal-title":"World J Gastroenterol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjae851\/63052242\/rjae851.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjae851\/63052242\/rjae851.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T16:14:37Z","timestamp":1746375277000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae851\/8124759"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae851","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,29]]},"article-number":"rjae851"}}