Tomoyuki Uchihara1,2, Yoshihiro Komohara3, Kohei Yamashita4,2, Kota Arima4,2, Shinichiro Uemura4, Norihisa Hanada4, Hideo Baba5. 1. Department of Surgery, Izumi General Medical Center, Kagoshima, Japan; tomoyuki.u.mikawa1@gmail.com hdobaba@kumamoto-u.ac.jp. 2. Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan. 3. Department of Cell Pathology, Kumamoto University, Kumamoto, Japan. 4. Department of Surgery, Izumi General Medical Center, Kagoshima, Japan. 5. Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan; tomoyuki.u.mikawa1@gmail.com hdobaba@kumamoto-u.ac.jp.
Abstract
BACKGROUND: Appendicitis caused by a foreign body is extremely rare. We report a case of chronic appendicitis caused by a perforating fish bone. CASE REPORT: The patient was a 50-year-old Japanese man. He felt dull lower abdominal pain for 2 months and diagnosed as appendicitis caused by a perforating fish bone. He underwent emergency laparoscopic surgery. The fish bone had perforated through the appendix wall. The fish bone was initially removed followed by laparoscopic appendectomy. Pathological investigation revealed a transmural cut line of approximately 0.5 mm that was surrounded by fibrous tissue with inflammation. CONCLUSION: This is the first reported case of fish bone-induced chronic appendicitis that underwent laparoscopic appendectomy. For optimum outcome, a correct diagnosis based on a detailed consultation and imaging tests, and an operation performed after careful planning are needed.
BACKGROUND: Appendicitis caused by a foreign body is extremely rare. We report a case of chronic appendicitis caused by a perforating fish bone. CASE REPORT: The patient was a 50-year-old Japanese man. He felt dull lower abdominal pain for 2 months and diagnosed as appendicitis caused by a perforating fish bone. He underwent emergency laparoscopic surgery. The fish bone had perforated through the appendix wall. The fish bone was initially removed followed by laparoscopic appendectomy. Pathological investigation revealed a transmural cut line of approximately 0.5 mm that was surrounded by fibrous tissue with inflammation. CONCLUSION: This is the first reported case of fish bone-induced chronic appendicitis that underwent laparoscopic appendectomy. For optimum outcome, a correct diagnosis based on a detailed consultation and imaging tests, and an operation performed after careful planning are needed.
Authors: Brian K P Goh; Yu-Meng Tan; Shueh-En Lin; Pierce K H Chow; Foong-Koon Cheah; London L P J Ooi; Wai-Keong Wong Journal: AJR Am J Roentgenol Date: 2006-09 Impact factor: 3.959
Authors: Brian K P Goh; Pierce K H Chow; Hak-Mien Quah; Hock-Soo Ong; Kong-Weng Eu; London L P J Ooi; Wai-Keong Wong Journal: World J Surg Date: 2006-03 Impact factor: 3.352