Abstract:A child with a foreign body lodged in the rectoaigmoid region resulting in colonic perforation and concurrent acute appendicitis is presented. During clinical evaluation, there were no signs of generalized peritonitis; abdominal sonography was performed to evaluate for acute appendicitis. An erect abdominal xray showed a radio opaque shadow in the right iliac fossa. At laparotomy, the tip of a pen was seen to perforate the sigmoid colon and impinge on the base of the appendix which was grossly inflamed. Subseq… Show more
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