Appendiceal perforation due to ingesting fish bone leading to abscess at the right iliac fossa: A case report

  • Nguyễn Thanh Tâm Bệnh viện Trung ương Quân đội 108

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Keywords

Acute appendicitis, appendiceal perforation, foreign body, fish bone

Abstract

Foreign body ingestion is a quite common situation in everyday life. However, apendiceal perforation due to accidentally ingesting a fish bone is a very rare phenomenon. Often, the exact diagnosis is missed preoperatively because it has no specific symptoms, so it is easily confused with other diseases such as acute appendicitis, colonic diverticulitis, cecal infammation, acute cholecystitis, etc. Delay in diagnosis and treatment can be associated with higher rates of morbidity and mortality. In order to add to the library of experience for clinical practice, we would like to submit this case report of a 49-year old male who was diagnosed with acute appendicitis preoperatively. However during the emergency laparoscopy, the patient’s appendix was detected to have been perforated by a fish bone, which led to abscess at the right iliac fossa. The patient had the foreign body removed, an appendectomy, a peritoneal lavage and the right iliac fossa drained. The postoperative recovery was uneventful and the patient was discharged safely

Article Details

References

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