Perforation of Cecum Secondary to Foreign Body—Toothpick

Autor:	Alexander Engel, Jothi Rajasekaran Murugesan, Tom Palesy
Rok vydání:	2019
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Perforation (oil well) Iliac fossa medicine.disease 03 medical and health sciences Cecum Ileocecal valve 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Abdomen 030211 gastroenterology & hepatology Surgery Radiology Foreign body Laparoscopy business Toothpick
Zdroj:	Indian Journal of Surgery. 81:604-606
ISSN:	0973-9793 0972-2068
Popis:	Intestinal perforation from foreign bodies is not uncommon. Toothpick perforation of the cecum is rare both site wise and as an etiology of perforation involving the large intestine. We report a case involving a 65-year-old female whose presentation was with nausea, vomiting, and lower abdominal pain of 4 weeks duration. Clinical examination at presentation revealed tenderness in the right iliac fossa with peritonism. Blood results showed marginally elevated inflammatory markers. Computerized tomography (CT scan) of the abdomen and pelvis showed localized perforation of the cecum. Laparoscopy showed cecal perforation adjacent to the ileocecal valve; hence, a right hemicolectomy was performed. Histopathological examination confirmed the above finding. Foreign body perforation of large intestine, although rare, should be a differential for acute abdominal pain. A thorough history, examination, and pertinent imaging are vital to arrive at an early diagnosis and hence management plan.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::37f8848dd661c90c1d20336a577d7af8 https://doi.org/10.1007/s12262-019-01921-4 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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