Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report
Introduction: Right lower quadrant pain is a usual presentation of many acute abdominal conditions. However, it could as well be the presentation of unusual conditions. To date, cecal perforation as a result of fish bone impaction has not been reported in pediatric patients. Case description: A 10-y...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623001264 |
| _version_ | 1797745964440616960 |
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| author | Sze-ting Christie Lau Louise Bik-yu Ting Adrian Chi-heng Fung Eugene Chin-tung Lau Kenneth Kak-yuen Wong |
| author_facet | Sze-ting Christie Lau Louise Bik-yu Ting Adrian Chi-heng Fung Eugene Chin-tung Lau Kenneth Kak-yuen Wong |
| author_sort | Sze-ting Christie Lau |
| collection | DOAJ |
| description | Introduction: Right lower quadrant pain is a usual presentation of many acute abdominal conditions. However, it could as well be the presentation of unusual conditions. To date, cecal perforation as a result of fish bone impaction has not been reported in pediatric patients. Case description: A 10-year-old Chinese girl presented with right sided abdominal pain and fever. Abdominal examination revealed tenderness and guarding in the right iliac fossa. She was initially thought to have acute appendicitis. Ultrasound of the abdomen was not conclusive. A computed tomography of the abdomen with contrast revealed that the appendix was not dilated. It also showed a faint 1.3-cm-long linear hyper-density in the cecum, with peritoneal thickening at the right iliac fossa. Laparoscopy confirmed a fish bone impaction causing cecal perforation. The fish bone was retrieved, and the cecal perforation repaired through a McBurney incision. She was discharged 3 days after operation. Conclusion: Although rare, it is important to consider the possibility of an intestinal perforation caused by swallowed foreign objects such as fish bone in children presenting with acute abdominal pain. |
| first_indexed | 2024-03-12T15:30:27Z |
| format | Article |
| id | doaj.art-58142c7130bc4110b61766d267435e7c |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-03-12T15:30:27Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-58142c7130bc4110b61766d267435e7c2023-08-10T04:34:19ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-09-0196102700Fishbone impaction with cecal perforation mimicking acute appendicitis: A case reportSze-ting Christie Lau0Louise Bik-yu Ting1Adrian Chi-heng Fung2Eugene Chin-tung Lau3Kenneth Kak-yuen Wong4Department of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong KongDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong KongCorresponding author. Department of Surgery, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.; Department of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong KongDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong KongDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong KongIntroduction: Right lower quadrant pain is a usual presentation of many acute abdominal conditions. However, it could as well be the presentation of unusual conditions. To date, cecal perforation as a result of fish bone impaction has not been reported in pediatric patients. Case description: A 10-year-old Chinese girl presented with right sided abdominal pain and fever. Abdominal examination revealed tenderness and guarding in the right iliac fossa. She was initially thought to have acute appendicitis. Ultrasound of the abdomen was not conclusive. A computed tomography of the abdomen with contrast revealed that the appendix was not dilated. It also showed a faint 1.3-cm-long linear hyper-density in the cecum, with peritoneal thickening at the right iliac fossa. Laparoscopy confirmed a fish bone impaction causing cecal perforation. The fish bone was retrieved, and the cecal perforation repaired through a McBurney incision. She was discharged 3 days after operation. Conclusion: Although rare, it is important to consider the possibility of an intestinal perforation caused by swallowed foreign objects such as fish bone in children presenting with acute abdominal pain.http://www.sciencedirect.com/science/article/pii/S2213576623001264Foreign bodyFishboneIntestinal perforationChildrenCase report |
| spellingShingle | Sze-ting Christie Lau Louise Bik-yu Ting Adrian Chi-heng Fung Eugene Chin-tung Lau Kenneth Kak-yuen Wong Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report Journal of Pediatric Surgery Case Reports Foreign body Fishbone Intestinal perforation Children Case report |
| title | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report |
| title_full | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report |
| title_fullStr | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report |
| title_full_unstemmed | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report |
| title_short | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report |
| title_sort | fishbone impaction with cecal perforation mimicking acute appendicitis a case report |
| topic | Foreign body Fishbone Intestinal perforation Children Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623001264 |
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