Laparoscopic management of a small bowel perforation caused by a toothpick.

A 58-year-old man underwent an emergency laparoscopic procedure for small bowel perforation with peritonitis after the ingestion of a wooden toothpick. Treatment consisted of laparoscopic removal of the foreign body, followed by lavage of the abdominal cavity and laparoscopic closure of the perforation, including omentoplasty. The patient recovered from peritonitis and was discharged from the hospital on day 14 after the operation.