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Foreign Body Ingestion Followed by Appendiceal Perforation

BACKGROUND: Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. Case summary. A 40-year-old female presented with abdominal pain in the right lower quadrant of 10 days duration after acciden...

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Autores principales: Qassim, Sarah, Lairy, Ali, Asfar, Sami
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024094/
https://www.ncbi.nlm.nih.gov/pubmed/33859859
http://dx.doi.org/10.1155/2021/8877671
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author Qassim, Sarah
Lairy, Ali
Asfar, Sami
author_facet Qassim, Sarah
Lairy, Ali
Asfar, Sami
author_sort Qassim, Sarah
collection PubMed
description BACKGROUND: Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. Case summary. A 40-year-old female presented with abdominal pain in the right lower quadrant of 10 days duration after accidentally ingesting a drilling bit during a dental procedure. She had right iliac fossa tenderness on physical examination. X-ray showed a pointed long metal object in the right lower quadrant. A contrast-enhanced computed tomography scan of the abdomen revealed a pointed metal object in the pelvis with inconclusive location. Diagnostic laparoscopy showed an inflamed appendix with the tip of the metal object perforating it. Appendectomy was performed. Histopathology showed an inflamed appendix. CONCLUSION: Foreign bodies that cause appendicitis are rare. However, they may become lodged at any site of the gastrointestinal tract and cause inflammation or perforation. This is a bizarre case of foreign body-induced appendicitis with perforation.
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spelling pubmed-80240942021-04-14 Foreign Body Ingestion Followed by Appendiceal Perforation Qassim, Sarah Lairy, Ali Asfar, Sami Case Rep Surg Case Report BACKGROUND: Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. Case summary. A 40-year-old female presented with abdominal pain in the right lower quadrant of 10 days duration after accidentally ingesting a drilling bit during a dental procedure. She had right iliac fossa tenderness on physical examination. X-ray showed a pointed long metal object in the right lower quadrant. A contrast-enhanced computed tomography scan of the abdomen revealed a pointed metal object in the pelvis with inconclusive location. Diagnostic laparoscopy showed an inflamed appendix with the tip of the metal object perforating it. Appendectomy was performed. Histopathology showed an inflamed appendix. CONCLUSION: Foreign bodies that cause appendicitis are rare. However, they may become lodged at any site of the gastrointestinal tract and cause inflammation or perforation. This is a bizarre case of foreign body-induced appendicitis with perforation. Hindawi 2021-03-29 /pmc/articles/PMC8024094/ /pubmed/33859859 http://dx.doi.org/10.1155/2021/8877671 Text en Copyright © 2021 Sarah Qassim et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Qassim, Sarah
Lairy, Ali
Asfar, Sami
Foreign Body Ingestion Followed by Appendiceal Perforation
title Foreign Body Ingestion Followed by Appendiceal Perforation
title_full Foreign Body Ingestion Followed by Appendiceal Perforation
title_fullStr Foreign Body Ingestion Followed by Appendiceal Perforation
title_full_unstemmed Foreign Body Ingestion Followed by Appendiceal Perforation
title_short Foreign Body Ingestion Followed by Appendiceal Perforation
title_sort foreign body ingestion followed by appendiceal perforation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024094/
https://www.ncbi.nlm.nih.gov/pubmed/33859859
http://dx.doi.org/10.1155/2021/8877671
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