Acute complicated appendicitis caused by an ingested toothpick – A case report

Lloyd, Angus; Elwahab, Sami Abd; Boland, Michael R.; Elfadul, Amr; Hill, Arnold D.; Power, Colm

doi:10.1016/j.ijscr.2022.106872

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…If neglected, AA ultimately complicates (20-30%), leading to gangrene, perforation, local peritonitis, or diffuse peritonitis, among other potentially serious problems (3)(4)(5)(6)(7) . The diagnosis of complicated acute appendicitis (CAA) is primarily built on a combination of clinical suspicion of AA progression of severity, inflammatory laboratory blood markers, and pelviabdominal imaging such as ultrasonography (US) and computed tomography (CT) (6)(7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

Management of Complicated Acute Appendicitis in Adults: Laparoscopic versus Open Appendectomy

Baz¹,

Orban²,

Heggy³

2023

The Egyptian Journal of Hospital Medicine

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Background: Nowadays laparoscopic appendectomy (LA) is the management of choice for acute appendicitis (AA) in simple, uncomplicated cases. For complicated acute appendicitis (CAA), laparoscopic or conventional open appendectomy (OA) is still in debate.Objective: This study aimed to compare minimally invasive LA and traditional OA in CAA cases. Methods: In this study, 44 patients with CAA (22 for LA and 22 for OA) with 18 years of age or older were enrolled. It was conducted in General Surgery Department, Helwan University Hospital. Results:The operative time difference between the LA and OA groups was statistically significant (18.5 minutes shorter in the OA group, (p<0.001). The median length of hospital stay, return to normal activity, and patient satisfaction were significantly better in the LA group (p-values of 0.001, 0.00, and 0.14 respectively). The need for analgesics in the LA group was significantly lower than in the OA group. There were no detectable statistically significant findings concerning the occurrence of surgical findings, postoperative vomiting, postoperative ileus, wound infection, wound dehiscence, or postoperative intra-abdominal collection. Conclusions: Laparoscopic appendectomy management of CAA is feasible, safe, and has numerous advantages over the traditional open procedure in terms of reducing postoperative pain, requiring fewer analgesics, shortening the postoperative hospital stay, having a low incidence of postoperative infectious complications, and allowing a rapid return to daily activities with improved comfort and satisfaction.

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Section: Introductionmentioning

confidence: 99%

Management of Complicated Acute Appendicitis in Adults: Laparoscopic versus Open Appendectomy

Baz¹,

Orban²,

Heggy³

2023

The Egyptian Journal of Hospital Medicine

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Acute Appendicitis Secondary to the Ingestion of a Toothpick

Alves Braun,

Duarte

et al. 2024

Balkan Med J

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Appendiceal Foreign Bodies in Adults: A Systematic Review of Case Reports

Abdalla¹,

Nour²,

Qasim³

et al. 2023

Cureus

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Adults can accidentally swallow foreign bodies (FBs) with food. In rare occasions, these can lodge in the appendix lumen causing inflammation. This is known as foreign body appendicitis. We conducted this study to review different types and management of appendiceal FBs. A comprehensive search on PubMed, MEDLINE, Embase, Cochrane Library and Google Scholar was performed to detect appropriate case reports for this review. Case reports eligible for this review included patients above 18 years of age with all types of FB ingestion causing appendicitis. A total of 64 case reports were deemed to be eligible for inclusion in this systematic review. The patient mean age was 44.3 ± 16.7 years (range, 18-77). Twenty-four foreign bodies were identified in the adult appendix. They were mainly lead shot pellet, fishbone, dental crown or filling, toothpick, and others. Forty-two percent of the included patients presented with classic appendicitis pain, while 17% were asymptomatic. Moreover, the appendix was perforated in 11 patients. Regarding modalities used for diagnosis, computed tomography (CT) scans confirmed the presence of FBs in 59% of cases while X-ray only managed to detect 30%. Almost all of the cases (91%) were treated surgically with appendicectomy and only six were managed conservatively. Overall, lead shot pellets were the most common foreign body found. Fishbone and toothpick accounted for most of the perforated appendix cases. This study concludes that prophylactic appendicectomy is recommended for the management of foreign bodies detected in the appendix, even if the patient is asymptomatic.

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Acute complicated appendicitis caused by an ingested toothpick – A case report

Cited by 3 publications

References 26 publications

Management of Complicated Acute Appendicitis in Adults: Laparoscopic versus Open Appendectomy

Management of Complicated Acute Appendicitis in Adults: Laparoscopic versus Open Appendectomy

Acute Appendicitis Secondary to the Ingestion of a Toothpick

Appendiceal Foreign Bodies in Adults: A Systematic Review of Case Reports

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