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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Main Authors: Sadi A. Abukhalaf, Rami A. Misk, Hussam I. Alzeerelhouseini, Ismaeel M. Irziqat, Abdulrahman H. Asaferah, Osama Y. Aljabarein, Khalil N. Abuzaina
Format: Article
Language:English
Published: Wiley 2020-01-01
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.
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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
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