Acute appendicitis induced by bone fragment ingestion: A pediatrics case report.

Autor: Khai NX; Department of Interventional Radiology, Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Dung NV; Department of Radiology, 108 Military Central Hospital, Hanoi, Vietnam., Tien TD; Department of Pathology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Hai DM; Paraclinical Department, Tan Dan Clinic, Bacgiang, Vietnam., Cong LDT; Department of Radiology and Endoscopy, Phu Quoc Medical Center, Kiengiang, Vietnam., Khanh NN; Class YKTHK4, Thanh Hoa Campus, Hanoi Medical University, Hanoi, Vietnam., Van Duy T; Department of Pediatrics, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Nam DT; Department of Interventional Radiology, Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Minh NT; Department of Interventional Radiology, Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.; Department of Gastroenterology and Hepatology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2024 Aug 27; Vol. 19 (11), pp. 5318-5323. Date of Electronic Publication: 2024 Aug 27 (Print Publication: 2024).
DOI: 10.1016/j.radcr.2024.08.010
Abstrakt: Acute appendicitis is an ordinary surgical emergency, typically attributed to luminal obstruction by fecaliths or lymphoid hyperplasia. However, ingested foreign bodies as an etiology are rare but increasingly recognized, particularly in pediatric patients. We present the case of a 9-year-old male patient who presented to the emergency department with symptoms consistent with acute appendicitis. Further investigation revealed the presence of a bone fragment within the appendix, leading to acute inflammation. Foreign body ingestion should be considered in pediatric patients with acute appendicitis. This case report underscores the importance of comprehensive clinical evaluation and appropriate diagnostic imaging modalities in guiding optimal treatment strategies.
(© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE