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'PEN' appendicitis
Gabriel Ngom1, Issa Amadou, Olivier Ngaringuem
1Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
Journal of Indian Association of Pediatric Surgeons
|October 27, 2010
Summary
A child swallowed a pen tip, mimicking appendicitis. Surgical removal of the foreign body from the perforated appendix led to a full recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Foreign body ingestion is common in children.
- Appendicitis is a frequent surgical emergency in pediatric patients.
- Unusual foreign bodies can present diagnostic challenges.
Observation:
- A three-year-old boy presented with symptoms suggestive of appendicitis.
- Radiographs revealed a foreign body in the right iliac fossa.
Findings:
- Surgical exploration identified a perforated appendix with a pen tip within its lumen.
- Appendectomy was performed, successfully removing the foreign body and inflamed appendix.
Implications:
- This case highlights the potential for unusual foreign bodies to cause acute abdominal emergencies in children.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in pediatric foreign body ingestion complications.
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