Fluoroscopy-guided laparoscopy in the management of intraabdominal foreign body

Appendicitis or perforation as a result of intraluminal foreign body is uncommon. The method of diagnosis and proper approach for an elective appendectomy in an otherwise silent intraluminal foreign body is under dispute. A laparoscopic exploration under intraoperative fluoroscopy guidance was performed in a mentally retarded 9-year-old boy with asymptomatic foreign bodies in the right lower abdominal quadrant. The authors recommend laparoscopic appendectomy, assisted by intraoperative fluoroscopy for patients with pointed foreign bodies in the appendix.