Introduction:

The clinical presentation of the intestinal perforation, secondary to the intake of foreign bodies usually is inespecific, since the patient often does not remember the intake of this, and the imaging studies are negative, that makes difficult the diagnostic.

Material and methods:

We present a clinical case of ciego perforation due to intake of toothpick, with clinical presentation of acute abdomen, their diagnostic and their resolution by surgical laparoscopy.

Conclusions:

The intake of toothpick can be involuntary during meals. The diagnostic of gastrointestinal perforation by foreign bodies is inespecific and can mimic other clinical presentation as appendicitis.

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