title: [Perforation of the cecum by a toothpick--a rare differential acute appendicitis diagnosis. Case report and review of the literature].
abstract: We report the case of a 46-year-old man who was admitted to the medical department of the hospital Reichenbach with a 2-day history of central and upper abdominal pain. The pain was displaced in the right lower abdominal quadrant, which is why the patient was transferred to our department. At laparoscopy a toothpick was found perforating the cecum. Laparoscopic management, therapeutic possibilities and problems of diagnosis are discussed. The patient does not recall having ingested a toothpick. The laparoscopic treatment of perforation of the cecum by a toothpick might be among the rarest operations ever conducted. In the literature no such publication could be found up to now.
authors.affiliation: Vogtlandklinikum Plauen GmbH, Plauen.
authors.forename: U
authors.initials: U
authors.lastname: Neumann
authors.forename: J
authors.initials: J
authors.lastname: Fielitz
authors.forename: H G
authors.initials: HG
authors.lastname: Ehlert
mesh_terms: D000208:Acute Disease; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D002432:Cecum / Q000293:injuries* / Q000601:surgery; D003937:Diagnosis, Differential; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D014934:Wood