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A Tooth Decaying in the Appendix: An Unusual Cause of Appendicitis
Zachary J Brennan1, Grace Young2, Kyle Packer3
1Surgery, Michigan State University College of Osteopathic Medicine, East Lansing, USA.
Cureus
|May 16, 2022
Summary
Appendicitis from ingested foreign bodies requires surgery, not antibiotics. Prompt diagnosis via history, exam, and imaging is crucial for effective treatment of this rare cause of appendicitis.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Appendicitis is a frequent surgical diagnosis, with recent trends favoring antibiotic management for uncomplicated cases.
- Ingested foreign bodies are a rare but significant cause of appendicitis.
Observation:
- A patient presented with symptoms suggestive of uncomplicated acute appendicitis.
- Physical examination, patient history, and imaging revealed an impacted dental crown within the appendix.
Findings:
- The appendicitis was caused by an ingested foreign body (dental crown), necessitating surgical intervention.
- Antibiotics are inappropriate for appendicitis caused by foreign bodies.
Implications:
- Surgical management is indicated for appendicitis caused by ingested foreign bodies, provided the patient can tolerate surgery.
- Comprehensive patient assessment, including detailed history, physical examination, and appropriate imaging, is vital for diagnosing unusual causes of appendicitis.
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