Acute appendicitis and ileal perforation with a toothpick treated by laparoscopy.
A 69-year-old man underwent an emergency laparoscopic procedure after the acute appendicitis diagnosis has been established. Laparoscopic exploration showed inflamed appendix and perforation of terminal ileum with a swallowed part of the wooden toothpick. The treatment consisted of typical laparoscopic appendectomy and laparoscopic removal of the foreign body, followed by laparoscopic closure of the perforation site and lavage of the abdominal cavity. The postoperative course was uneventful and the patient was discharged from the hospital on day 3 after the operation.
Perko
Zdravko
Z
Department of Surgery, University Hospital and School of Medicine, Split, Croatia. zperko@kbsplit.hr
Bilan
Kanito
K
Pogorelić
Zenon
Z
Druzijanić
Nikica
N
Srsen
Darko
D
Kraljević
Damir
D
Juricić
Josko
J
Krnić
Dragan
D
D000208:Acute Disease; D000368:Aged; D001064:Appendicitis / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007082:Ileum / Q000293:injuries*; D007416:Intestinal Perforation / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D014950:Wounds, Penetrating / Q000209:etiology* / Q000601:surgery