Unusual cause of appendicitis. A case report of acute appendicitis caused by needle ingestion

被引：6

作者：

Tustumi, Francisco ^{[2
]}

Hudari, Guilherme Garcia ^{[1
]}

Modolo, Natalia Rebeque ^{[1
]}

Gioia Morrell, Andre Luiz ^{[2
,3
]}

de Miranda Neto, Antonio Afonso ^{[2
]}

Dias, Andre Roncon ^{[1
,2
]}

机构：

[1] FMABC, Santo Andre, SP, Brazil

[2] FMUSP, Sao Paulo, SP, Brazil

[3] Inst Morrell, Sao Paulo, SP, Brazil

来源：

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2020年 / 72卷

关键词：

Appendicitis; Appendectomy; Ingested foreign body; METALLIC FOREIGN-BODY;

D O I：

10.1016/j.ijscr.2020.05.094

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

INTRODUCTION: Appendicitis is an acute inflammatory process. The purpose of this report is to describe an unusual case of acute appendicitis in adult caused by accidental ingestion of a needle, and treated with appendectomy. PRESENTATION OF CASE: A 64 year-old white woman, seamstress, was admitted with abdominal pain complaints. Plain radiograph and CT scan showed metal density suggesting a foreign body in the lower right abdomen. A diagnostic laparoscopic procedure identified a perforated appendicitis due to a needle perforation. Laparoscopic appendicectomy and foreign body removal were performed. DISCUSSION: Acute appendicitis due foreign body ingestion is extremely rare. Laparoscopy was the chosen access once it was more suitable for inventory of the gastrointestinal tract and help avoiding harm of the medical team during hand maneuvers of open access surgery. CONCLUSION: Foreign body ingestion should be remembered as an unusual differential diagnosis of acute appendicitis. (C) 2020 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

引用

页码：499 / 502

页数：4

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