Ascending colon toothpick impaction identified during screening colonoscopy: A case report

doi:10.12998/wjcc.121345

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Clin Cases. Jul 6, 2026; 14(19): 121345
Published online Jul 6, 2026. doi: 10.12998/wjcc.121345

Table 1 Clinical timeline of events

Date	Event	Findings	Management
February 2025	Emergency department visit	Abdominal pain, WBC 12.2 × 10⁹/L; CT suggestive of small bowel obstruction	Supportive care
3 weeks later	Screening colonoscopy	Toothpick embedded in ascending colon with purulence	Endoscopic removal + hemoclip
Same day as colonoscopy	Post-procedure CT	Clip visualized; no perforation	Observation
2-week post procedure follow-up	Clinic visit	Asymptomatic	No further intervention

WBC: White blood cell; CT: Computed tomography.

Full Size Table

Citation: Awadallah M, Ton L, Thoguluva Chandrasekar V, Yap JEL, Vega KJ. Ascending colon toothpick impaction identified during screening colonoscopy: A case report. World J Clin Cases 2026; 14(19): 121345
URL: https://www.wjgnet.com/2307-8960/full/v14/i19/121345.htm
DOI: https://dx.doi.org/10.12998/wjcc.121345

Awadallah M, Ton L, Thoguluva Chandrasekar V, Yap JEL, Vega KJ. Ascending colon toothpick impaction identified during screening colonoscopy: A case report. World J Clin Cases 2026; 14(19): 121345 [DOI: 10.12998/wjcc.121345]

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