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Hepatic inflammatory mass secondary to toothpick perforation of the stomach: triphasic CT appearances

  • Yun-Chung Cheung
    Affiliations
    Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine and School of Medical Technology, Chang Gung University, 5 Fu-Hsing Road, Kwei-Shan Hsiang, Tao Yuan, Taiwan
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  • Shu-Hang Ng
    Affiliations
    Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine and School of Medical Technology, Chang Gung University, 5 Fu-Hsing Road, Kwei-Shan Hsiang, Tao Yuan, Taiwan
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  • Chih-Feng Tan
    Affiliations
    Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine and School of Medical Technology, Chang Gung University, 5 Fu-Hsing Road, Kwei-Shan Hsiang, Tao Yuan, Taiwan
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  • Koon-Kwan Ng
    Affiliations
    Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine and School of Medical Technology, Chang Gung University, 5 Fu-Hsing Road, Kwei-Shan Hsiang, Tao Yuan, Taiwan
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  • Yung-Liang Wan
    Correspondence
    Corresponding author. Tel.: +886-3-3281200 ext. 2575; fax: +886-3-3971936
    Affiliations
    Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine and School of Medical Technology, Chang Gung University, 5 Fu-Hsing Road, Kwei-Shan Hsiang, Tao Yuan, Taiwan
    Search for articles by this author

      Abstract

      Unintentional ingestion of foreign bodies is common in daily life. The unintentional ingestion of sharp foreign bodies such as toothpicks, fish bones and chicken bones carries a significant risk of perforation of the gastrointestinal tract. Herein, we report a case of hepatic inflammatory mass complicated by the perforation of an ingested toothpick that had a distinctive enhancement pattern on dynamic computed tomograms (CT). Understanding the phenomenon of enhancement in triphasic CT study is the basis in differentiating liver neoplasms.

      Keywords

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