Abdominal pain from ingested bone misdiagnosed as appendicitis: Report of a rare case and literature review

Abstract

Bones are potential foreign bodies that could be accidentally ingested, leading to several symptoms varying from asymptomatic to perforation of the gastrointestinal tract. However, these cases are rare but may be misdiagnosed with other common diseases such as appendicitis. We present in this case a 25-year-old male who presented with appendicitis symptoms, after appendectomy the patient had the same complaint, But the colonoscopy demonstrated a meat bone in the terminal ileum and was removed with the same device. Finally, he was discharged from the hospital without complications and after decreasing abdominal pain. According to the literature review, this is one of the rare cases of using colonoscopy to treat bone impaction non-operatively.

Keywords

• Misdiagnosis
• Colonoscopy
• Appendicitis
• Ingest meat bone
• A rare case
• Foreign bodies