title: Acute appendicitis and ileal perforation with a toothpick treated by laparoscopy.
abstract: 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.
authors.affiliation: Department of Surgery, University Hospital and School of Medicine, Split, Croatia. zperko@kbsplit.hr
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Perko
authors.forename: Kanito
authors.initials: K
authors.lastname: Bilan
authors.forename: Zenon
authors.initials: Z
authors.lastname: Pogorelić
authors.forename: Nikica
authors.initials: N
authors.lastname: Druzijanić
authors.forename: Darko
authors.initials: D
authors.lastname: Srsen
authors.forename: Damir
authors.initials: D
authors.lastname: Kraljević
authors.forename: Josko
authors.initials: J
authors.lastname: Juricić
authors.forename: Dragan
authors.initials: D
authors.lastname: Krnić
mesh_terms: 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