title: Laparoscopic management of a small bowel perforation caused by a toothpick.
abstract: A 58-year-old man underwent an emergency laparoscopic procedure for small bowel perforation with peritonitis after the ingestion of a wooden toothpick. Treatment consisted of laparoscopic removal of the foreign body, followed by lavage of the abdominal cavity and laparoscopic closure of the perforation, including omentoplasty. The patient recovered from peritonitis and was discharged from the hospital on day 14 after the operation.
authors.affiliation: Department of Surgery, Ludwig Maximilians University, Klinikum Grosshadern, Marchioninistrasse 15, 81377 Munich, Germany. Matthias.Wichmann@gch.med.uni-muenchen.de
authors.forename: M W
authors.initials: MW
authors.lastname: Wichmann
authors.forename: T P
authors.initials: TP
authors.lastname: Hüttl
authors.forename: A
authors.initials: A
authors.lastname: Billing
authors.forename: K-W
authors.initials: KW
authors.lastname: Jauch
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D004630:Emergencies; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000293:injuries* / Q000601:surgery; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000209:etiology / Q000628:therapy; D013536:Suture Techniques; D007507:Therapeutic Irrigation; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery*