Foreign Body Ingestion Followed by Appendiceal Perforation

Background. Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. Case summary. A 40-year-old female presented with abdominal pain in the right lower quadrant of 10 days duration after acciden...

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Main Authors: Sarah Qassim, Ali Lairy, Sami Asfar
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2021/8877671
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author Sarah Qassim
Ali Lairy
Sami Asfar
author_facet Sarah Qassim
Ali Lairy
Sami Asfar
author_sort Sarah Qassim
collection DOAJ
description Background. Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. Case summary. A 40-year-old female presented with abdominal pain in the right lower quadrant of 10 days duration after accidentally ingesting a drilling bit during a dental procedure. She had right iliac fossa tenderness on physical examination. X-ray showed a pointed long metal object in the right lower quadrant. A contrast-enhanced computed tomography scan of the abdomen revealed a pointed metal object in the pelvis with inconclusive location. Diagnostic laparoscopy showed an inflamed appendix with the tip of the metal object perforating it. Appendectomy was performed. Histopathology showed an inflamed appendix. Conclusion. Foreign bodies that cause appendicitis are rare. However, they may become lodged at any site of the gastrointestinal tract and cause inflammation or perforation. This is a bizarre case of foreign body-induced appendicitis with perforation.
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spelling doaj-art-aaeb90dd38c446e58fe416ca12113e242025-08-20T02:20:12ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/88776718877671Foreign Body Ingestion Followed by Appendiceal PerforationSarah Qassim0Ali Lairy1Sami Asfar2Department of Surgery, Mubarak Al-Kabeer Hospital, KuwaitDepartment of Surgery, Mubarak Al-Kabeer Hospital, KuwaitKuwait University, KuwaitBackground. Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. Case summary. A 40-year-old female presented with abdominal pain in the right lower quadrant of 10 days duration after accidentally ingesting a drilling bit during a dental procedure. She had right iliac fossa tenderness on physical examination. X-ray showed a pointed long metal object in the right lower quadrant. A contrast-enhanced computed tomography scan of the abdomen revealed a pointed metal object in the pelvis with inconclusive location. Diagnostic laparoscopy showed an inflamed appendix with the tip of the metal object perforating it. Appendectomy was performed. Histopathology showed an inflamed appendix. Conclusion. Foreign bodies that cause appendicitis are rare. However, they may become lodged at any site of the gastrointestinal tract and cause inflammation or perforation. This is a bizarre case of foreign body-induced appendicitis with perforation.http://dx.doi.org/10.1155/2021/8877671
spellingShingle Sarah Qassim
Ali Lairy
Sami Asfar
Foreign Body Ingestion Followed by Appendiceal Perforation
Case Reports in Surgery
title Foreign Body Ingestion Followed by Appendiceal Perforation
title_full Foreign Body Ingestion Followed by Appendiceal Perforation
title_fullStr Foreign Body Ingestion Followed by Appendiceal Perforation
title_full_unstemmed Foreign Body Ingestion Followed by Appendiceal Perforation
title_short Foreign Body Ingestion Followed by Appendiceal Perforation
title_sort foreign body ingestion followed by appendiceal perforation
url http://dx.doi.org/10.1155/2021/8877671
work_keys_str_mv AT sarahqassim foreignbodyingestionfollowedbyappendicealperforation
AT alilairy foreignbodyingestionfollowedbyappendicealperforation
AT samiasfar foreignbodyingestionfollowedbyappendicealperforation