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Needle perforation of the appendix.

K Renner1, B Holzer, G Hochwarter

  • 1Department of Surgery, Danube Hospital/SMZ-Ost, Vienna, Austria. karl.renner@smz.magwien.gv.at

Digestive Surgery
|October 29, 2000
PubMed
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A swallowed needle perforated a patient's appendix, causing acute appendicitis. Early surgical intervention is crucial, even with minimal symptoms, to prevent complications from undiagnosed perforations.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Swallowed needles are common foreign bodies, usually passing naturally.
  • However, they can cause gastrointestinal perforation, particularly in adults.

Observation:

  • A case of acute appendicitis was diagnosed.
  • The patient underwent an appendectomy without prior knowledge of a needle perforation.

Findings:

  • A 1.5 cm needle was found within the appendix lumen.
  • The needle had perforated the distal appendix, leading to inflammation.

Implications:

  • Undiagnosed perforations, even with subtle symptoms, can result in severe local inflammation.
  • Prompt surgical evaluation should be considered for suspected needle ingestion to avoid complications.

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