title: Accidental ingestion of cotton bud stick during alcohol intoxication: an unusual cause of caecal perforation.
abstract: A first reported case of caecal perforation by an ingested blunt foreign body is described. This 31-year-old female did not relate a history of accidental swallowing of a cotton bud stick on admission. The cause of her right iliac fossa pain (i.e. caecal perforation by a cotton bud stick) became only apparent when she underwent operation for suspected appendicitis. A simple closure of this caecal perforation was undertaken. The patient made a complete recovery from this ordeal. Caecal perforation by an ingested blunt foreign body can occur after it has safely negotiated the ileocaecal valve.
authors.affiliation: Department of Surgery, Nottingham City Hospital, Nottingham, England, UK. mmemon@yahoo.com
authors.forename: M A
authors.initials: MA
authors.lastname: Memon
authors.forename: Dal
authors.initials: D
authors.lastname: Macafee
authors.forename: H
authors.initials: H
authors.lastname: Rattan
mesh_terms: D000328:Adult; D000435:Alcoholic Intoxication; D002432:Cecum; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*