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Ingested razor blades within the appendix: A rare case report.

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|March 24, 2018
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Summary

This case study highlights a rare instance of intentional razor blade ingestion causing appendiceal lodging. Laparoscopic appendectomy proved effective for removal when conservative management failed.

Keywords:
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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Foreign body ingestion is common, with surgical intervention rarely needed (<1%).
  • Intentional ingestion of sharp objects like razor blades presents unique challenges.

Purpose of the Study:

  • To report a rare case of razor blades lodged in the appendix following intentional ingestion.
  • To discuss the diagnostic and management strategies for such rare presentations.

Main Methods:

  • A 25-year-old male presented with right iliac fossa pain post-ingestion.
  • Conservative management failed; serial X-rays showed no transition.
  • Laparoscopy with intraoperative image intensification confirmed appendiceal location, followed by appendectomy.

Main Results:

  • Razor blades were successfully located within the appendix via laparoscopy.
  • Appendectomy was performed without complications, facilitating foreign body removal.

Conclusions:

  • Foreign body lodging in the appendix is infrequent.
  • Laparoscopic appendectomy is a safe and effective method for removal once the location is confirmed.