Fatal sepsis from appendicitis caused by an impacted tooth.

Fatal sepsis from appendicitis caused by an impacted tooth.
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DOI:
10.1093/jscr/rjac564
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发表时间:
2022-12
影响因子:
0.5
通讯作者:
--
中科院分区:
其他
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--
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急性阑尾炎是全球急性腹痛最常见的原因之一。急性阑尾炎的病理生理学是由于阑尾腔闭塞,通常是由于粪石。被摄入的异物阻塞阑尾腔是可能的,尽管很少见。在这里,我们提出一个极为罕见的急性阑尾炎病例,由患者的牙齿在阑尾腔内阻生而引起。在文献中,只有七个报告的阻生牙齿引起阑尾炎的病例。对于牙齿阻生引起的阑尾炎的治疗,目前尚无循证指南。作者建议首先考虑阑尾切除术的手术处理。
Acute appendicitis is one of the most common causes of acute abdominal pain globally. The pathophysiology of acute appendicitis is due to occlusion of the appendiceal lumen commonly from a faecolith. Obstruction of the appendiceal lumen by ingested foreign bodies is possible albeit rare. Here, we present an extremely rare case of acute appendicitis caused by impaction of the patients tooth within the lumen of the appendix. There have been only seven reported cases of impacted teeth causing appendicitis in the literature. There are no evidence-based guidelines for the management of appendicitis caused by tooth impaction. The authors suggest operative management with appendicectomy should be considered in the first instance.
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