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KMID : 0385920140250010128
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 1 p.128 ~ p.131
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A Case of Appendiceal Perforation Caused by Fishbone
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Kang Dong-Baek
Oh Jung-Taek
Park Won-Cheol
Lee Jeong-Kyun
Jo Hyang-Jeong
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Abstract
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On rare occasions, ingested foreign bodies make their way into the appendix, which can cause an inflammatory reaction with or without perforation. In addition, perforation of the appendix by a foreign body is relatively rare, however, it should be considered in atypical cases of peritonitis, intraabdominal abscess, or mass, and intestinal obstruction. We experienced a case of appendiceal perforation caused by a fishbone, which presented as chronic abdominal pain and intra-abdominal abscess. A 57-year-old man presented with ambiguous lower right-side abdominal pain with fever for approximately one week. Abdominal computed tomography showed a foreign body in the appendix with abscess formation. Subsequently, a laparoscopic appendectomy was performed and histopathological examination confirmed perforated appendicitis with severe inflammation secondary to a foreign body.
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KEYWORD
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Foreign body, Appendicitis, Appendectomy
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