Laparoscopic Management of Jejunal Perforation by a Toothpick: A Case Report

Abstract Foreign body ingestion is a common occurrence, with sharp objects such as toothpicks posing a high risk of gastrointestinal perforation. Timely diagnosis and intervention are crucial to prevent serious complications. Here, we present a 16-year-old adolescent male, who presented with a 3-day history of progressively worsening, left-sided abdominal pain and a single episode of fever. Physical examination revealed localized tenderness in the left upper quadrant. A contrast-enhanced computed tomography showed a foreign body in the mid-jejunum along with localized inflammation. Diagnostic laparoscopy revealed a toothpick protruding through the mesenteric border of the jejunum. The foreign body was successfully removed laparoscopically. The patient was treated with broad-spectrum antibiotics and discharged on postoperative day 5. A 1-month follow-up showed complete recovery. This case highlights the importance of advanced imaging and minimally invasive surgical techniques in the management of sharp foreign body-induced gastrointestinal perforations.