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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

749
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...
749
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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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:
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Tonsillitis II: Management01:26

Tonsillitis II: Management

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Acute complicated appendicitis caused by an ingested toothpick - A case report.

A J Lloyd1, S M Abd Elwahab1, M R Boland1

  • 1Department of Surgery, Beaumont Hospital, Dublin, Ireland; Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland.

International Journal of Surgery Case Reports
|March 8, 2022
PubMed
Summary
This summary is machine-generated.

Foreign body ingestion can cause acute appendicitis, a rare condition lacking specific management guidelines. Surgical intervention is crucial for foreign body appendicitis, as highlighted by this case report and literature review.

Keywords:
AppendicitisCase reportForeign bodyLaparoscopic appendicectomyToothpick

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute appendicitis is a common emergency department presentation, typically diagnosed using clinical suspicion, blood markers, and imaging.
  • Laparoscopic appendicectomy is the standard treatment for appendicitis, especially complicated cases.

Purpose of the Study:

  • To report a rare case of acute complicated appendicitis caused by an ingested toothpick.
  • To review the literature and emphasize the importance of surgical management for foreign body appendicitis.

Main Methods:

  • Case report of a 64-year-old woman with acute complicated appendicitis.
  • Diagnostic workup included clinical assessment, inflammatory markers, and CT imaging.
  • Surgical intervention involved laparoscopic appendicectomy.

Main Results:

  • A toothpick was found protruding through the appendiceal wall during surgery.
  • The patient received postoperative intravenous antibiotics and was discharged.
  • Literature review indicated surgical intervention is paramount for foreign body appendicitis.

Conclusions:

  • Foreign body appendicitis is rare, with no established management guidelines.
  • Surgical management is essential for foreign body appendicitis.
  • The surgical approach depends on surgeon's clinical judgment and skills.