{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T05:23:04Z","timestamp":1737436984281,"version":"3.33.0"},"reference-count":10,"publisher":"Baishideng Publishing Group Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Surg"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Acute abdominal pain is one of the most common gastrointestinal symptoms. The etiology of acute abdomen can be challenging for gastroenterologists to establish. Cecal foreign body is a rare cause of cecal perforation.<\/jats:p>\n          <jats:p>CASE SUMMARY<\/jats:p>\n          <jats:p>We report a 35-year-old male from China who initially exhibited symptoms suggestive of acute appendicitis. However, during a minimally invasive colonoscopy procedure, the authors found that a wooden toothpick caused the perforation. The patient presented to our emergency department with a 2 days history of right lower abdominal pain and low grade fever. The patient was in good health and had eaten fish 2 days earlier. Physical examination revealed mild pain with positive rebound tenderness in the right lower abdomen. However, computed tomography of the abdomen confirmed a strip of high-density shadows protruding beyond the intestinal cavity outline, with a small amount of peritoneal seepage in the ileocecal area. Combined with the medical history, the possibility of foreign body perforation by a fishbone and peripheral peritonitis were considered. However, the high-density shadow was identified as a wooden toothpick, which was removed via a minimally invasive procedure using a foreign body forceps under colonoscopy. The patient's condition improved significantly within 5 days after treatment.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>We emphasize the importance of a detailed patient history, accurate diagnosis and proper treatment in patients with acute abdomen.<\/jats:p>","DOI":"10.4240\/wjgs.v17.i2.102354","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T20:02:33Z","timestamp":1737403353000},"source":"Crossref","is-referenced-by-count":0,"title":["Acute abdominal pain complicated by cecal perforation caused by an unnoticed swallowed toothpick: A case report"],"prefix":"10.4240","volume":"17","author":[{"given":"Tao","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2025,2,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.103199"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2013.02.016"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-9-63"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.45467"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1590\/0100-3984.2015.0127"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0178"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.34172\/aim.2022.44"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.5812\/ijhrba.30127"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1080\/110241500750009140"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000001681"}],"container-title":["World Journal of Gastrointestinal Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/1948-9366\/full\/v17\/i2\/102354.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/1948-9366\/full\/v17\/i2\/102354.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T20:03:33Z","timestamp":1737403413000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/1948-9366\/full\/v17\/i2\/102354.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,27]]},"references-count":10,"journal-issue":{"issue":"2"},"alternative-id":["102354"],"URL":"https:\/\/doi.org\/10.4240\/wjgs.v17.i2.102354","relation":{},"ISSN":["1948-9366"],"issn-type":[{"value":"1948-9366","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,27]]}}}