CT features most consistent with a foreign body perforating the sigmoid colon with signs of focal peritonitis. At surgery, the foreign body was a toothpick which was confirmed later by the patient that was ingested accidentally a few days ago.

Digestive tract perforation secondary to incidental toothpick ingestion was already described in the literature ^1,2.

Thanks to Dr L. Meklid, MD, general surgeon, Ain Touta hospital, Batna, Algeria