J Korean Soc Emerg Med.  2014 Feb;25(1):128-131.

A Case of Appendiceal Perforation Caused by Fishbone

• Kang DB
• Oh JT
• Park WC
• Lee JK
• Jo HJ

Abstract

On rare occasions, ingested foreign bodies make their way into the appendix, which can cause an inflammatory reaction with or without perforation. In addition, perforation of the appendix by a foreign body is relatively rare, however, it should be considered in atypical cases of peritonitis, intra-abdominal abscess, or mass, and intestinal obstruction. We experienced a case of appendiceal perforation caused by a fishbone, which presented as chronic abdominal pain and intra-abdominal abscess. A 57-year-old man presented with ambiguous lower right-side abdominal pain with fever for approximately one week. Abdominal computed tomography showed a foreign body in the appendix with abscess formation. Subsequently, a laparoscopic appendectomy was performed and histopathological examination confirmed perforated appendicitis with severe inflammation secondary to a foreign body.

Keyword

Foreign body; Appendicitis; Appendectomy

MeSH Terms

Abdominal Abscess
Abdominal Pain
Abscess
Appendectomy
Appendicitis
Appendix
Fever
Foreign Bodies
Inflammation
Intestinal Obstruction
Middle Aged
Peritonitis