Appendicitis Caused by a Foreign Body of Dental Origin

Asad, Sadaf; Bae, Kyungsoo; Jeon, Kyung-Nyeo; Cho, Jaemin; Shin, Tae Beom; Joo, Young-Tae; Kim, Hyun‐Jin

doi:10.7863/jum.2007.26.7.967

Cited by 9 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…And as magnet ingestion is common in children, it can lead to perforated appendix and even an ileocaecal fistula [5]. On the opposite of blunt objects, ingesting sharp long materials causes perforation [6]. Accidental ingesting of a drilling bit is a rare phenomenon, and careful evaluation of the signs and symptoms prompts immediate management.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Ingestion Followed by Appendiceal Perforation

Qassim

Lairy

Asfar

2021

Case Reports in Surgery

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Foreign Body Ingestion Followed by Appendiceal Perforation

Qassim

Lairy

Asfar

2021

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…Clinicians may also consider obtaining complete blood counts to identify evidence of leukocytosis in the setting of asymptomatic appendicitis. Recently, using ultrasound to confirm foreign body-associated appendicitis has been gaining support as ultrasound imaging has been shown to decrease the number of unnecessary admissions and appendectomies [3].…”

Section: Discussionmentioning

confidence: 99%

“…Appendicitis caused by foreign body ingestion is a rare occurrence in adults. Most ingested foreign bodies pass through the GI tract without incident, with less than one percent impacting in the appendix [3]. Within the GI tract, the dependent position of the cecum and its slower motility make it susceptible to the settlement of foreign bodies.…”

Section: Introductionmentioning

confidence: 99%

A ‘Bit’ of Appendicitis: A Case of a Foreign Object in the Adult Appendix

Packard¹,

Groff²,

Shahid³

et al. 2019

Cureus

View full text Add to dashboard Cite

Appendicitis is the most common abdominal surgical emergency, and if left untreated, can lead to an abscess, peritonitis, or even death. The exact mechanism of appendicitis has yet to be elucidated, but the predominant theory is that different forms of luminal obstruction of the vermiform appendix lead to ischemia of the appendix wall and subsequent translocation of bacteria across the compromised mucosa, leading to transmural inflammation. The most common etiology is hyperplasia of lymphoid tissue in the mucosa, often secondary to infection and inflammation with gradual symptom onset. Rarer causes of obstruction include parasitic infiltration, fibrous bands, carcinoid syndrome, and foreign body ingestion and often have atypical or absent symptomatology, making diagnosis more challenging and complications more frequent. We present a rare case of foreign body-associated appendicitis with distal lodging in the appendix and highlight the importance of prophylactic appendectomy to avoid severe complications.

show abstract

“…US accurately identified location of coins in 2 patients in the emergency room setting 21 . Relatively few additional studies have evaluated US for esophageal foreign bodies, but studies have shown its effectiveness for evaluating abdominal foreign bodies 22‐26 . The main disadvantage is the need for a skilled individual performing this procedure.…”

Section: Discussionmentioning

confidence: 99%

Is There a Need for Repeat Radiologic Examination of Children with Esophageal Coin Foreign Body?

Dedhia

Chang

Leonardis

et al. 2016

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objectives To determine factors associated with the passage of coins. To determine the need for repeat preoperative chest x-ray (CXR) for esophageal coin foreign body. Setting Academic tertiary care center. Design Case series with chart review. Subjects and Methods Patient information was retrieved from an Institutional Review Board-approved database. We identified 1359 children with esophageal coin foreign bodies from 2001 to 2013. Patients with both initial diagnostic and immediate preoperative CXR were included. Results A total of 406 patients met inclusion criteria. The average age was 47 months (range, 1.8-194 months). On preoperative CXR, the position changed in 29 patients (7%). Age, type of coin, and location of coin were all statistically significant factors affecting the passage of the coin ( P < .0001). Coins in the distal esophagus were 9.3 times more likely to pass than coins in the proximal esophagus. The longer the object was in the esophagus, the less likely it was to pass. Conclusions This study characterizes when esophageal coins may pass. Age, type of coin, location of coin at initial x-ray, and length of time are all important considerations to determine if the coin will pass. This information may be used to counsel families about the likelihood of coins to pass and whether repeat x-ray is necessary prior to surgical removal. Additionally, it may be more cost-effective to obtain repeat films in select patients and prevent those from going to the operating theater who are more likely to pass the coin spontaneously.

show abstract

Appendicitis Caused by a Foreign Body of Dental Origin

Cited by 9 publications

References 10 publications

Foreign Body Ingestion Followed by Appendiceal Perforation

Foreign Body Ingestion Followed by Appendiceal Perforation

A ‘Bit’ of Appendicitis: A Case of a Foreign Object in the Adult Appendix

Is There a Need for Repeat Radiologic Examination of Children with Esophageal Coin Foreign Body?

Contact Info

Product

Resources

About