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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

322
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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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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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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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....
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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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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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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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A Foreign Body in an Unexpected Place-Ingested Hardware Nails Within the Appendix.

Alberto J Monreal1, Daniel G Vanuno1

  • 1Department of General Surgery, AdventHealth Orlando, Orlando, FL, USA.

The American Surgeon
|April 11, 2023
PubMed
Summary
This summary is machine-generated.

Foreign body ingestion, though common, rarely involves the appendix. This case highlights successful laparoscopic appendectomy for removing ingested nails lodged in the appendix after endoscopic removal failed.

Keywords:
acute care surgeryendoscopygastrointestinalgeneral surgery

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Pediatric Surgery

Background:

  • Foreign body ingestion is a frequent clinical occurrence, with most objects passing naturally through the gastrointestinal tract.
  • Appendiceal foreign bodies are exceptionally rare, posing unique diagnostic and management challenges.
  • Ingestion of sharp objects like hardware nails presents a significant risk of gastrointestinal injury.

Purpose of the Study:

  • To report the successful management of a rare case of multiple foreign bodies (hardware nails) lodged within the appendix.
  • To illustrate the diagnostic and therapeutic approach for appendiceal foreign bodies.
  • To emphasize the role of minimally invasive surgery in managing complex foreign body ingestions.

Main Methods:

  • Initial esophagogastroduodenoscopy for foreign body removal from the stomach and duodenum.
  • Conservative management allowing spontaneous passage of most ingested nails.
  • Laparoscopic exploration with fluoroscopic guidance to identify and remove retained appendiceal foreign bodies.
  • Laparoscopic appendectomy for definitive treatment.

Main Results:

  • Endoscopic removal of only 3 out of over 30 ingested hardware nails.
  • Spontaneous passage of most nails, with two remaining localized to the right lower quadrant.
  • Successful laparoscopic identification and removal of two nails within the appendix.
  • No gastrointestinal perforation or significant complications occurred.

Conclusions:

  • Appendiceal foreign bodies, even multiple sharp objects, can be managed successfully with a combination of endoscopic and surgical approaches.
  • Laparoscopic appendectomy is a safe and effective treatment for appendiceal foreign bodies.
  • Prompt diagnosis and tailored management are crucial for favorable outcomes in foreign body ingestion cases.