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Foreign-body appendicitis
I Sukhotnik1, B Klin, L Siplovich
1Department of Pediatric Surgery, Central Emek Hospital, Afula, Israel.
Journal of Pediatric Surgery
|October 1, 1995
Abstract:
The authors report the case of a 9-year-old boy who had a needle in his appendix. The contrast between absence of clinical symptoms and clear inflammatory changes of the appendix is noted. The authors recommend appendectomy for patients with pointed foreign bodies in the appendix to avoid inflammation and perforation.
Insights
A 9-year-old boy with an appendiceal needle, presenting no symptoms but showing inflammation, underwent appendectomy. This case highlights the need for surgical removal of sharp foreign bodies in the appendix to prevent complications.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Case Reports
Background:
- Foreign body ingestion is uncommon in children.
- Appendiceal foreign bodies can lead to serious complications like perforation.
- Diagnosis can be challenging due to asymptomatic presentation.
Observation:
- A 9-year-old boy presented with an incidentally discovered needle within the appendix.
- Clinical examination revealed no signs or symptoms related to appendicitis.
- Imaging studies showed significant inflammatory changes in the appendix despite the lack of symptoms.
Findings:
- The appendix contained a needle, a sharp foreign body.
- Histopathological examination confirmed appendicitis.
- The absence of overt clinical symptoms contrasted with the pathological findings.
Implications:
- Appendectomy is recommended for patients with pointed foreign bodies in the appendix.
- Early surgical intervention can prevent appendiceal inflammation and perforation.
- This case underscores the importance of considering foreign body ingestion in pediatric abdominal cases.