Acute perforated appendicitis secondary to a foreign body: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20262000Keywords:
Acute apendicitis, Appendectomy, Appendicitis, Foreign bodyAbstract
Acute apendicitis is one of the most frequent causes of acute abdomen and a common surgical emergency worldwide. Although most cases are due to luminal obstruction from lymphoid hyperplasia or fecaliths, the presence of foreign bodies as a cause of perforated appendicitis is exceptional, with a reported prevalence of 0.0005%. We present a case of a 63-year-old male with typical abdominal pain of appendicitis, where the presence of a foreign body in the appendix was identified by abdominal tomography as a possible trigger of the inflammatory process. An open appendectomy was performed without complications, resulting in adequate postoperative evolution after antibiotic management. This case emphasizes the importance of considering foreign bodies as a rare etiology of perforated appendicitis, especially in adults without a history of ingesting unusual objects. Early diagnosis and timely surgical intervention are key to reducing morbidity and improving the prognosis.
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