Correct diagnosis and successful treatment for pericardial effusion due to toothpick injury: A case report and literature review

Figure 1 High resolution chest computed tomography (CT) revealed a moderate amount of pericardial effusion with possible superimposed infection. Thickness of pericardium and left lobe liver abscess were found. A straight tubular structure about 6 cm in length transverses the lateral segment of liver to pericardial space and unknown foreign body was suspected.

Figure 2 Operative findings revealed severe adhesion between liver and diaphragm. After the space was divided between the liver and diaphragm, a toothpick was found through the liver into pericardium.

Figure 3 Gross findings of a toothpick measuring 6. 5 cm in length.