Literally a pain in the butt: Sleeping man ingests toothpick

An elderly man sought medical help after two months of niggling buttock and thigh pain
toothpick-rectum
Non-contrasted CT of the lumbar spine and pelvic region one month after the first visit. Photo: BMJ

A patient learnt the hard way not to nap with a toothpick in his mouth when he developed a rare case of sacral plexopathy after inadvertently swallowing the stick.

The tip of the errant toothpick eventually penetrated the man’s rectum and pressed on the sacral nerves, report doctors from the Akita Cerebrospinal Centre in Japan.