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Related Experiment Videos

Ingested foreign body mimicking an appendicolith in a child.

V Moorjani1, C Wong, A Lam

  • 1Department of Imaging, The Childrens Hospital at Westmead, Locked bag 4001, Westmead, Sydney, NSW 2145, Australia.

The British Journal of Radiology
|February 21, 2006
PubMed
Summary

A child

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Appendicitis is a common surgical emergency in children.
  • Foreign body ingestion can lead to gastrointestinal complications.
  • Radiographic findings can mimic appendicitis.

Observation:

  • A pediatric patient presented with symptoms mimicking appendicitis.
  • Radiographs showed calcific opacities in the right iliac fossa.
  • These opacities resembled appendicoliths, commonly associated with appendicitis.

Findings:

  • Surgical exploration revealed a sealed perforation of the terminal ileum.
  • Histopathology confirmed the presence of hard concretions within the ileal wall.
  • The concretions were attributed to ingested sand and stones.

Implications:

  • This case highlights a rare cause of appendicitis-like presentation in children.
  • Ingested foreign bodies, like sand and stones, can lead to serious intestinal injury.
  • Accurate diagnosis requires integrating clinical presentation, imaging, and surgical findings.

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