{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T10:44:25Z","timestamp":1780742665736,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Toothpick ingestion is a medical emergency requiring urgent intervention. Swallowed toothpicks can cause intestinal perforation, bleeding, or damage to the surrounding organs. Herein, we describe a unique case of a geriatric patient with a history of peptic ulcer disease who presented to the emergency department for the evaluation of abdominal pain and nausea. Gastric wall thickening concerning for a gastric neoplasm was observed on a computed tomography (CT) scan of the abdomen and pelvis. An esophagogastroduodenoscopy (EGD) revealed an embedded toothpick with a contained gastric perforation, and the foreign body was retrieved with a grasper device. Given the rare presentation, nonspecific symptoms, inability to recall, and often inconclusive imaging, a high index of suspicion is needed for early diagnosis and treatment of toothpick ingestion.<\/jats:p>","DOI":"10.1177\/23247096231211056","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T04:23:15Z","timestamp":1699503795000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pain in the Gut: An Intriguing Case of Toothpick Ingestion Causing Gastric Perforation"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2772-6085","authenticated-orcid":false,"given":"Lefika","family":"Bathobakae","sequence":"first","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"St. George\u2019s University, Grenada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Melki","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yana","family":"Cavanagh","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Siau","sequence":"additional","affiliation":[{"name":"Royal Cornwall Hospitals NHS Trust, Truro, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"bibr1-23247096231211056","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.902004"},{"key":"bibr2-23247096231211056","first-page":"97","volume":"82","author":"Depoorter L","year":"2019","journal-title":"Acta Gastroenterol Belg"},{"key":"bibr3-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-5-421"},{"key":"bibr4-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-9-9"},{"key":"bibr5-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/5846290"},{"key":"bibr6-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2307-z"},{"key":"bibr7-23247096231211056","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i38.6447"},{"key":"bibr8-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.107841"},{"key":"bibr9-23247096231211056","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.33888"},{"key":"bibr10-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-021-01959-3"},{"key":"bibr11-23247096231211056","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"key":"bibr12-23247096231211056","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.11263"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096231211056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23247096231211056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096231211056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:03:48Z","timestamp":1777449828000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23247096231211056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":12,"alternative-id":["10.1177\/23247096231211056"],"URL":"https:\/\/doi.org\/10.1177\/23247096231211056","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"23247096231211056"}}