Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy
Background and Aim. Appendicitis is unusual in toddlers and foreign body- (FB-) induced appendicitis is rare. We present a FB-induced appendicitis in a toddler with no suggestive history of FB ingestion. Case Presentation. A 2-year-old healthy boy presented to the emergency department with irritabil...
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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2020/8877754 |
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author | Sadi A. Abukhalaf Rami A. Misk Hussam I. Alzeerelhouseini Ismaeel M. Irziqat Abdulrahman H. Asaferah Osama Y. Aljabarein Khalil N. Abuzaina |
author_facet | Sadi A. Abukhalaf Rami A. Misk Hussam I. Alzeerelhouseini Ismaeel M. Irziqat Abdulrahman H. Asaferah Osama Y. Aljabarein Khalil N. Abuzaina |
author_sort | Sadi A. Abukhalaf |
collection | DOAJ |
description | Background and Aim. Appendicitis is unusual in toddlers and foreign body- (FB-) induced appendicitis is rare. We present a FB-induced appendicitis in a toddler with no suggestive history of FB ingestion. Case Presentation. A 2-year-old healthy boy presented to the emergency department with irritability for 3 days duration associated with fever of 39°C, nausea, anorexia, and vomiting. There was no history of foreign body ingestion. The abdomen was distended and diffusely tender. An abdominal ultrasound (US) was suggestive of perforated appendicitis with appendicular mass formation. An abdominal X-ray showed a pin-like foreign body in the abdomen. An emergent appendectomy was performed. Intraoperatively, a sealed small cecal perforation was noticed. A 5 cm pin-like metallic foreign body was found to obstruct the appendicular lumen. The appendix was grossly normal without inflammatory changes. Conclusion. FB-induced perforations or appendicitis albeit in patients with no history of FB ingestion or infants and toddlers need a high clinical suspicion to prevent the delay in diagnosis and the subsequent complications. |
format | Article |
id | doaj-art-febb6a0368654a7aa76afc7e700e7e3d |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Surgery |
spelling | doaj-art-febb6a0368654a7aa76afc7e700e7e3d2025-02-03T06:06:45ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/88777548877754Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old BoySadi A. Abukhalaf0Rami A. Misk1Hussam I. Alzeerelhouseini2Ismaeel M. Irziqat3Abdulrahman H. Asaferah4Osama Y. Aljabarein5Khalil N. Abuzaina6Faculty of Medicine, Al Quds University, Jerusalem, State of PalestineFaculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, State of PalestineFaculty of Medicine, Al Quds University, Jerusalem, State of PalestineGovernmental Hebron Hospital, Hebron, State of PalestineGovernmental Hebron Hospital, Hebron, State of PalestineGovernmental Hebron Hospital, Hebron, State of PalestineGovernmental Hebron Hospital, Hebron, State of PalestineBackground and Aim. Appendicitis is unusual in toddlers and foreign body- (FB-) induced appendicitis is rare. We present a FB-induced appendicitis in a toddler with no suggestive history of FB ingestion. Case Presentation. A 2-year-old healthy boy presented to the emergency department with irritability for 3 days duration associated with fever of 39°C, nausea, anorexia, and vomiting. There was no history of foreign body ingestion. The abdomen was distended and diffusely tender. An abdominal ultrasound (US) was suggestive of perforated appendicitis with appendicular mass formation. An abdominal X-ray showed a pin-like foreign body in the abdomen. An emergent appendectomy was performed. Intraoperatively, a sealed small cecal perforation was noticed. A 5 cm pin-like metallic foreign body was found to obstruct the appendicular lumen. The appendix was grossly normal without inflammatory changes. Conclusion. FB-induced perforations or appendicitis albeit in patients with no history of FB ingestion or infants and toddlers need a high clinical suspicion to prevent the delay in diagnosis and the subsequent complications.http://dx.doi.org/10.1155/2020/8877754 |
spellingShingle | Sadi A. Abukhalaf Rami A. Misk Hussam I. Alzeerelhouseini Ismaeel M. Irziqat Abdulrahman H. Asaferah Osama Y. Aljabarein Khalil N. Abuzaina Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy Case Reports in Surgery |
title | Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy |
title_full | Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy |
title_fullStr | Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy |
title_full_unstemmed | Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy |
title_short | Appendicitis-Like Picture Induced by Foreign Body in a 2-Year-Old Boy |
title_sort | appendicitis like picture induced by foreign body in a 2 year old boy |
url | http://dx.doi.org/10.1155/2020/8877754 |
work_keys_str_mv | AT sadiaabukhalaf appendicitislikepictureinducedbyforeignbodyina2yearoldboy AT ramiamisk appendicitislikepictureinducedbyforeignbodyina2yearoldboy AT hussamialzeerelhouseini appendicitislikepictureinducedbyforeignbodyina2yearoldboy AT ismaeelmirziqat appendicitislikepictureinducedbyforeignbodyina2yearoldboy AT abdulrahmanhasaferah appendicitislikepictureinducedbyforeignbodyina2yearoldboy AT osamayaljabarein appendicitislikepictureinducedbyforeignbodyina2yearoldboy AT khalilnabuzaina appendicitislikepictureinducedbyforeignbodyina2yearoldboy |