{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:19:28Z","timestamp":1791389968888,"version":"4.3.3"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,30]]},"abstract":"<jats:p>Aortoenteric fistulas (AEF) are a rare but life-threatening cause of gastrointestinal (GI) bleeding. We present the case of a primary AEF caused by ingestion of a toothpick by a 47-year-old male. This is the 10th known case in the literature in which a foreign body was found to be the cause of a communication between the aorta and the GI tract. Most foreign objects have been sewing needles; this is the first known case of a toothpick penetration. The patient presented to our institution with polymicrobial sepsis and bilateral pulmonary septic emboli. The patient was successfully treated but required multiple interventions and a prolonged intensive care unit admission.<\/jats:p>","DOI":"10.1136\/bcr-2016-218338","type":"journal-article","created":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T08:45:11Z","timestamp":1497343511000},"page":"bcr-2016-218338","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Toothpick-induced aortoenteric fistula presenting as sepsis"],"prefix":"10.1136","volume":"2017","author":[{"given":"Elizabeth","family":"Liao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0067-7217","authenticated-orcid":false,"given":"Martin","family":"Simons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard W","family":"Tse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Roche-Nagle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,6,13]]},"reference":[{"key":"2025042711565267000_2017.jun13_1.bcr-2016-218338.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.06.036"},{"key":"2025042711565267000_2017.jun13_1.bcr-2016-218338.2","unstructured":"Tatco V , Skandhan AKP . 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