Abstract
A male patient in his 60s who developed sudden diarrhea with abdominal pain was diagnosed with acute enterocolitis and received conservative treatment; however, his symptoms did not improve, and evaluation by computed tomography (CT) revealed an intraabdominal needle-like foreign body and abscess surrounded by an inflammatory mass. No signs of peritoneal irritation were observed. The patient reported a habit of holding a wooden toothpick in his mouth. The mass was removed by open abdominal surgery. Gross examination revealed that the needle-like foreign body was a wooden toothpick. Thus, surgical diagnosis was small intestinal perforation by a wooden toothpick. The patient was discharged 13 days after surgery.
