We had a cool case at our suburban community ED 50s year old male with RLQ/flank pain, nausea, chills with RLQ TTP and some guarding, still had his appendix WBC mildly elevated, UA clear CT showed normal appendix but a radiopague sharp/linear appearing FB traversing his cecum and obvioulsly penetrating through the wall, creating a perforation On further questioning, the guy had a recent cosmetic dental procedure and apparently swallowed a bunch of epoxy resin which then hardened an created a sharp penetrating FB causing cecal perforation Was able to undergo enterotomy, FB removal and closure of perf without need for colectomy or ostomy
Christopher W. - November 23, 2018 6:14 AM
We had a cool case at our suburban community ED
50s year old male with RLQ/flank pain, nausea, chills with RLQ TTP and some guarding, still had his appendix
WBC mildly elevated, UA clear
CT showed normal appendix but a radiopague sharp/linear appearing FB traversing his cecum and obvioulsly penetrating through the wall, creating a perforation
On further questioning, the guy had a recent cosmetic dental procedure and apparently swallowed a bunch of epoxy resin which then hardened an created a sharp penetrating FB causing cecal perforation
Was able to undergo enterotomy, FB removal and closure of perf without need for colectomy or ostomy
Tracy G. - November 26, 2018 9:51 AM
From Kenji Inaba, M.D.:
What a great case…amazing what will, and what will not, get through the GI tract…