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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

977
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
231
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

213
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
213
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

226
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
226
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Foreign Body Ingestion Followed by Appendiceal Perforation.

Sarah Qassim1, Ali Lairy1, Sami Asfar2

  • 1Department of Surgery, Mubarak Al-Kabeer Hospital, Kuwait.

Case Reports in Surgery
|April 16, 2021
PubMed
Summary

A rare case of appendicitis caused by a foreign body is presented. A dental drilling bit lodged in the appendix perforated the organ, requiring surgical removal.

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Medical Imaging

Background:

  • Foreign body ingestion is common, particularly in children.
  • Appendicitis and appendix perforation due to foreign bodies are rare occurrences.
  • This report details a unique instance in an adult female.

Observation:

  • A 40-year-old female presented with a 10-day history of right lower quadrant abdominal pain.
  • Physical examination revealed right iliac fossa tenderness.
  • Imaging (X-ray, CT scan) identified a metallic foreign body in the abdominal/pelvic region.

Findings:

  • Diagnostic laparoscopy confirmed appendicitis with perforation by a metal object.
  • Surgical appendectomy was performed.
  • Histopathology confirmed appendiceal inflammation.

Implications:

  • Foreign bodies can cause gastrointestinal inflammation and perforation at any site.
  • This case highlights the unusual presentation of foreign body-induced appendicitis.
  • Emphasizes the importance of considering rare etiologies in abdominal pain diagnosis.