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Fatal sepsis from appendicitis caused by an impacted tooth
Xavier Field1, Thomas Burton1, Grant Christey1
1Department of General Surgery, Waikato Hospital, Hamilton, New Zealand.
Journal of Surgical Case Reports
|December 26, 2022
Summary
A rare case of acute appendicitis caused by a tooth impaction is presented. Surgical removal of the appendix (appendectomy) is recommended for this unusual cause of abdominal pain.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Acute appendicitis is a frequent cause of acute abdominal pain worldwide.
- Appendiceal lumen obstruction, typically by a fecalith, underlies its pathophysiology.
- Foreign body obstruction is a rare but possible cause of appendicitis.
Observation:
- This report details an exceptionally rare instance of acute appendicitis.
- The cause was a patient's tooth impacted within the appendiceal lumen.
- Only seven similar cases of tooth-induced appendicitis have been documented.
Findings:
- The case highlights a unique etiology for appendiceal obstruction.
- The literature review reveals limited documented occurrences of this condition.
- No established evidence-based management guidelines exist for tooth impaction appendicitis.
Implications:
- This case underscores the importance of considering unusual foreign bodies in appendicitis etiology.
- Appendectomy is suggested as the primary management strategy for tooth impaction appendicitis.
- Further research may be needed to establish specific treatment protocols for rare appendicitis causes.
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