Unusual cause of appendicitis: Orthodontic wire
Appendicitis is one of the most common childhood diseases requiring surgery and the appendectomy is the most common surgical procedure performed in children. Typical findings on physical exam and imaging points the child toward a surgical consult and, ultimately, removal of the inflamed appendix. Ou...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-08-01
|
| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576621001305 |
| _version_ | 1819260323569336320 |
|---|---|
| author | Marla A. Sacks Laura F. Goodman Faraz A. Khan Andrei Radulescu |
| author_facet | Marla A. Sacks Laura F. Goodman Faraz A. Khan Andrei Radulescu |
| author_sort | Marla A. Sacks |
| collection | DOAJ |
| description | Appendicitis is one of the most common childhood diseases requiring surgery and the appendectomy is the most common surgical procedure performed in children. Typical findings on physical exam and imaging points the child toward a surgical consult and, ultimately, removal of the inflamed appendix. Our aim is to present an interesting case and, to our knowledge, never before described cause of appendicitis in the pediatric population.We introduce the case of an 11-year-old female who presented with 3 days of abdominal pain, unremarkable laboratory findings, and a computer tomography (CT) showing a radiopaque object in the terminal ileum adjacent to the appendix. She underwent diagnostic laparoscopy with findings of a metallic wire that perforated the ileal wall and irritated the appendix. The wire was removed without need for intestinal repair and a standard appendectomy was performed. The patient recovered uneventfully.While standard presentation and treatment of appendicitis is at the forefront, occasionally imaging or intra-operative findings can present a surprise. This case of clinical symptoms of appendicitis but discordant imaging, led the patient to the operating room for the intended surgery. A foreign body was the irritator of the appendix, a differential to consider. |
| first_indexed | 2024-12-23T19:24:05Z |
| format | Article |
| id | doaj.art-af3953b149f546cbb128066271aa6135 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-23T19:24:05Z |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-af3953b149f546cbb128066271aa61352022-12-21T17:34:04ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-08-0171101909Unusual cause of appendicitis: Orthodontic wireMarla A. Sacks0Laura F. Goodman1Faraz A. Khan2Andrei Radulescu3Division of Pediatric Surgery, Loma Linda University Children's Hospital, Loma Linda, CA, USADivision of Pediatric Surgery, Loma Linda University Children's Hospital, Loma Linda, CA, USADivision of Pediatric Surgery, Loma Linda University Children's Hospital, Loma Linda, CA, USACorresponding author. Loma Linda University Medical Center, 11175 Campus Street, CP21111, Loma Linda, CA, 92350, USA.; Division of Pediatric Surgery, Loma Linda University Children's Hospital, Loma Linda, CA, USAAppendicitis is one of the most common childhood diseases requiring surgery and the appendectomy is the most common surgical procedure performed in children. Typical findings on physical exam and imaging points the child toward a surgical consult and, ultimately, removal of the inflamed appendix. Our aim is to present an interesting case and, to our knowledge, never before described cause of appendicitis in the pediatric population.We introduce the case of an 11-year-old female who presented with 3 days of abdominal pain, unremarkable laboratory findings, and a computer tomography (CT) showing a radiopaque object in the terminal ileum adjacent to the appendix. She underwent diagnostic laparoscopy with findings of a metallic wire that perforated the ileal wall and irritated the appendix. The wire was removed without need for intestinal repair and a standard appendectomy was performed. The patient recovered uneventfully.While standard presentation and treatment of appendicitis is at the forefront, occasionally imaging or intra-operative findings can present a surprise. This case of clinical symptoms of appendicitis but discordant imaging, led the patient to the operating room for the intended surgery. A foreign body was the irritator of the appendix, a differential to consider.http://www.sciencedirect.com/science/article/pii/S2213576621001305PediatricAppendicitisForeign bodyOrthodontic wire |
| spellingShingle | Marla A. Sacks Laura F. Goodman Faraz A. Khan Andrei Radulescu Unusual cause of appendicitis: Orthodontic wire Journal of Pediatric Surgery Case Reports Pediatric Appendicitis Foreign body Orthodontic wire |
| title | Unusual cause of appendicitis: Orthodontic wire |
| title_full | Unusual cause of appendicitis: Orthodontic wire |
| title_fullStr | Unusual cause of appendicitis: Orthodontic wire |
| title_full_unstemmed | Unusual cause of appendicitis: Orthodontic wire |
| title_short | Unusual cause of appendicitis: Orthodontic wire |
| title_sort | unusual cause of appendicitis orthodontic wire |
| topic | Pediatric Appendicitis Foreign body Orthodontic wire |
| url | http://www.sciencedirect.com/science/article/pii/S2213576621001305 |
| work_keys_str_mv | AT marlaasacks unusualcauseofappendicitisorthodonticwire AT laurafgoodman unusualcauseofappendicitisorthodonticwire AT farazakhan unusualcauseofappendicitisorthodonticwire AT andreiradulescu unusualcauseofappendicitisorthodonticwire |