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
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.
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
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.
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
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.
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
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.
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