A rare case of perforation of the subhepatic appendix by a toothpick in a patient with intestinal malrotation: laparoscopic approach

Foreign body ingestion is not an uncommon problem in clinical practice. While most ingested foreign bodies pass uneventfully through the gastrointestinal tract, sharp foreign bodies such as toothpicks should cause intestinal perforation. We reported the case of a perforation of the appendix caused b...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2016-07, Vol.37 (4), p.158-161
Main Authors: Grassi, V, Desiderio, J, Cacurri, A, Gemini, A, Renzi, C, Corsi, Alessandro, Barillaro, I, Parisi, A
Format: Article
Language:English
Subjects:
Aged
Appendectomy - methods
Appendicitis - diagnosis
Appendicitis - etiology
Appendicitis - surgery
Appendix - abnormalities
Appendix - injuries
Clinical Practice
Digestive System Abnormalities - complications
Foreign-Body Migration - complications
Foreign-Body Migration - diagnosis
Foreign-Body Migration - surgery
Humans
Intestinal Volvulus - complications
Laparoscopy - methods
Male
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Foreign body ingestion is not an uncommon problem in clinical practice. While most ingested foreign bodies pass uneventfully through the gastrointestinal tract, sharp foreign bodies such as toothpicks should cause intestinal perforation. We reported the case of a perforation of the appendix caused by a toothpick, which also pierced the liver without hepatic damages, in a male with an intestinal malrotation and subhepatic appendix. The patient was admitted to our hospital for abdominal pain in the right upper quadrant. An abdominal computed tomography scan revealed the anomalous position of the first portion of the large intestine with inflamed appendix. A laparoscopic appendicectomy and the exploration of the abdominal cavity was performed using minimally invasive technique.
ISSN:0391-9005
1971-145X
DOI:10.11138/gchir/2016.37.4.158