Foreign Body Ingestion Followed by Appendiceal Perforation.
Foreign Body Ingestion Followed by Appendiceal Perforation.
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DOI：
10.1155/2021/8877671
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发表时间：
2021
影响因子：
0.6
通讯作者：
Asfar S
中科院分区：
文献类型：
--
作者：
Qassim S;Lairy A;Asfar S
异物摄入在特定人群中非常常见，尤其是儿童。然而，阑尾炎和阑尾穿孔引起的异物是罕见的。案件摘要。一位40岁女性，在牙科手术中意外误吞钻头后，出现右下腹疼痛10天。体格检查发现右髂窝压痛。X光片显示右下腹有一个尖锐的长金属物体。腹部的对比增强计算机断层扫描显示骨盆内有一个尖锐的金属物体，位置不确定。诊断性腹腔镜检查显示阑尾发炎，金属物体的尖端穿透了阑尾。组织学检查显示阑尾发炎。 引起阑尾炎的异物是罕见的。然而，它们可能会停留在胃肠道的任何部位，并引起炎症或穿孔。这是一个奇怪的情况下，异物引起阑尾炎穿孔。
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. 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.