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Acute appendicitis and ileal perforation with a toothpick treated by laparoscopy
Authors:Perko Zdravko  Bilan Kanito  Pogorelić Zenon  Druzijanić Nikica  Srsen Darko  Kraljević Damir  Juricić Josko  Krnić Dragan
Institution:Department of Surgery, University Hospital and School of Medicine, Split, Croatia. zperko@kbsplit.hr
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.
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