ACASE REPORT OF COLONOSCOPIC EXTRACTION OF THE PENETRATING FOREIGN BODY(TOOTHPICK)OF THE TERMINAL ILEUM WITH THE ABDOMINAL WALL ABSCESS

Abstract

A 60-year-old man had a pain in the right lower quadrant abdomen with a fever up and anabdominal mass. Ultrasonogram revealed an abscess in the abdominal wall, which was openedto discharge pus. Colonoscopy which was performed to find a cause of the abscess showed apenetrating toothpick of the terminal ileum. Computed tomography also found out the penetrating toothpick of the right lower quadrant abdomen after colonoscopy was performed. After thehealing of the abscess, the toothpick was safely extracted by colonoscopy. Subsequently, therecurrence of an abscess and the inflammation did not appear. A foreign body penetrating intoadigestive tract should be considered as one of the causes for unknown origin of the abdominalwall abscess. After opening an abscess, the endoscopic extraction was safe and effective.