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- Publisher Website: 10.1016/j.epsc.2023.102700
- Scopus: eid_2-s2.0-85166619364
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Article: Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report
| Title | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report |
|---|---|
| Authors | |
| Keywords | Case report Children Fishbone Foreign body Intestinal perforation |
| Issue Date | 1-Sep-2023 |
| Publisher | Elsevier |
| Citation | Journal of Pediatric Surgery Case Reports, 2023, v. 96 How to Cite? |
| Abstract | IntroductionRight 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 descriptionA 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. ConclusionAlthough 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. |
| Persistent Identifier | http://hdl.handle.net/10722/331138 |
| ISSN | 2023 Impact Factor: 0.2 2023 SCImago Journal Rankings: 0.163 |
| ISI Accession Number ID |
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Lau, Sze-ting Christie | - |
| dc.contributor.author | Ting, Louise Bik-yu | - |
| dc.contributor.author | Fung, Adrian Chi-heng | - |
| dc.contributor.author | Lau, Eugene Chin-tung | - |
| dc.contributor.author | Wong, Kenneth Kak-yuen | - |
| dc.date.accessioned | 2023-09-21T06:53:04Z | - |
| dc.date.available | 2023-09-21T06:53:04Z | - |
| dc.date.issued | 2023-09-01 | - |
| dc.identifier.citation | Journal of Pediatric Surgery Case Reports, 2023, v. 96 | - |
| dc.identifier.issn | 2213-5766 | - |
| dc.identifier.uri | http://hdl.handle.net/10722/331138 | - |
| dc.description.abstract | <h3>Introduction</h3><p>Right lower quadrant pain is a usual presentation of many acute <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/abdomen-disorder" title="Learn more about abdominal conditions from ScienceDirect's AI-generated Topic Pages">abdominal conditions</a>. 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.</p><h3>Case description</h3><p>A 10-year-old Chinese girl presented with right sided abdominal pain and fever. <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/abdominal-examination" title="Learn more about Abdominal examination from ScienceDirect's AI-generated Topic Pages">Abdominal examination</a> revealed tenderness and guarding in the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/right-iliac-fossa" title="Learn more about right iliac fossa from ScienceDirect's AI-generated Topic Pages">right iliac fossa</a>. She was initially thought to have <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/acute-appendicitis" title="Learn more about acute appendicitis from ScienceDirect's AI-generated Topic Pages">acute appendicitis</a>. Ultrasound of the abdomen was not conclusive. A <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/computer-assisted-tomography" title="Learn more about computed tomography from ScienceDirect's AI-generated Topic Pages">computed tomography</a> 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 <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/incision" title="Learn more about incision from ScienceDirect's AI-generated Topic Pages">incision</a>. She was discharged 3 days after operation.</p><h3>Conclusion</h3><p>Although rare, it is important to consider the possibility of an <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/intestine-perforation" title="Learn more about intestinal perforation from ScienceDirect's AI-generated Topic Pages">intestinal perforation</a> caused by swallowed foreign objects such as fish bone in children presenting with <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/acute-abdomen" title="Learn more about acute abdominal pain from ScienceDirect's AI-generated Topic Pages">acute abdominal pain</a>.</p> | - |
| dc.language | eng | - |
| dc.publisher | Elsevier | - |
| dc.relation.ispartof | Journal of Pediatric Surgery Case Reports | - |
| dc.subject | Case report | - |
| dc.subject | Children | - |
| dc.subject | Fishbone | - |
| dc.subject | Foreign body | - |
| dc.subject | Intestinal perforation | - |
| dc.title | Fishbone impaction with cecal perforation mimicking acute appendicitis: A case report | - |
| dc.type | Article | - |
| dc.identifier.doi | 10.1016/j.epsc.2023.102700 | - |
| dc.identifier.scopus | eid_2-s2.0-85166619364 | - |
| dc.identifier.volume | 96 | - |
| dc.identifier.eissn | 2213-5766 | - |
| dc.identifier.isi | WOS:001052417200001 | - |
| dc.identifier.issnl | 2213-5766 | - |