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An 80-year-old male presented with right lower quadrant abdominal pain, and subjective fevers. There was guarding and percussion tenderness in the right lower quadrant.He had multiple comorbidities [American Society of Anaesthesiologist (ASA) classification 3], and was taking dabigatran. Figure 1. An axial view CT image of the patient's lower abdomen What is the diagnosis, and best option for management?Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Michael OGrady, General Surgery Registrar; Marianne Lill, General Surgeon. Whanganui Hospital, Whanganui

Acknowledgements

Correspondence

Michael OGrady, General Surgery Registrar, Whanganui Hospital, 100 Heads Road, Whanganui 4500, New Zealand.

Correspondence Email

Michael.OGrady@wdhb.org.nz

Competing Interests

Nil.

1. Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body ingestion. Annals of Surgery. 1984;199(2):187-191. 2. Brand\u00e3o D, Canedo A, Maia M, et al. Duodenocaval fistula as a result of a fish bone perforation Journal of Vascular Surgery. 2010;51(5):1276-1278. 3. Barros J, Caballero A Jr, Rueda JC, Monturiol JM. Foreign body ingestion: management of 167 cases. World Journal of Surgery. 1991;15(6):783-788.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

An 80-year-old male presented with right lower quadrant abdominal pain, and subjective fevers. There was guarding and percussion tenderness in the right lower quadrant.He had multiple comorbidities [American Society of Anaesthesiologist (ASA) classification 3], and was taking dabigatran. Figure 1. An axial view CT image of the patient's lower abdomen What is the diagnosis, and best option for management?Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Michael OGrady, General Surgery Registrar; Marianne Lill, General Surgeon. Whanganui Hospital, Whanganui

Acknowledgements

Correspondence

Michael OGrady, General Surgery Registrar, Whanganui Hospital, 100 Heads Road, Whanganui 4500, New Zealand.

Correspondence Email

Michael.OGrady@wdhb.org.nz

Competing Interests

Nil.

1. Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body ingestion. Annals of Surgery. 1984;199(2):187-191. 2. Brand\u00e3o D, Canedo A, Maia M, et al. Duodenocaval fistula as a result of a fish bone perforation Journal of Vascular Surgery. 2010;51(5):1276-1278. 3. Barros J, Caballero A Jr, Rueda JC, Monturiol JM. Foreign body ingestion: management of 167 cases. World Journal of Surgery. 1991;15(6):783-788.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

An 80-year-old male presented with right lower quadrant abdominal pain, and subjective fevers. There was guarding and percussion tenderness in the right lower quadrant.He had multiple comorbidities [American Society of Anaesthesiologist (ASA) classification 3], and was taking dabigatran. Figure 1. An axial view CT image of the patient's lower abdomen What is the diagnosis, and best option for management?Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Michael OGrady, General Surgery Registrar; Marianne Lill, General Surgeon. Whanganui Hospital, Whanganui

Acknowledgements

Correspondence

Michael OGrady, General Surgery Registrar, Whanganui Hospital, 100 Heads Road, Whanganui 4500, New Zealand.

Correspondence Email

Michael.OGrady@wdhb.org.nz

Competing Interests

Nil.

1. Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body ingestion. Annals of Surgery. 1984;199(2):187-191. 2. Brand\u00e3o D, Canedo A, Maia M, et al. Duodenocaval fistula as a result of a fish bone perforation Journal of Vascular Surgery. 2010;51(5):1276-1278. 3. Barros J, Caballero A Jr, Rueda JC, Monturiol JM. Foreign body ingestion: management of 167 cases. World Journal of Surgery. 1991;15(6):783-788.

Contact diana@nzma.org.nz
for the PDF of this article

View Article PDF

An 80-year-old male presented with right lower quadrant abdominal pain, and subjective fevers. There was guarding and percussion tenderness in the right lower quadrant.He had multiple comorbidities [American Society of Anaesthesiologist (ASA) classification 3], and was taking dabigatran. Figure 1. An axial view CT image of the patient's lower abdomen What is the diagnosis, and best option for management?Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Michael OGrady, General Surgery Registrar; Marianne Lill, General Surgeon. Whanganui Hospital, Whanganui

Acknowledgements

Correspondence

Michael OGrady, General Surgery Registrar, Whanganui Hospital, 100 Heads Road, Whanganui 4500, New Zealand.

Correspondence Email

Michael.OGrady@wdhb.org.nz

Competing Interests

Nil.

1. Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body ingestion. Annals of Surgery. 1984;199(2):187-191. 2. Brand\u00e3o D, Canedo A, Maia M, et al. Duodenocaval fistula as a result of a fish bone perforation Journal of Vascular Surgery. 2010;51(5):1276-1278. 3. Barros J, Caballero A Jr, Rueda JC, Monturiol JM. Foreign body ingestion: management of 167 cases. World Journal of Surgery. 1991;15(6):783-788.

Contact diana@nzma.org.nz
for the PDF of this article

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