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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
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.
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.
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