Video donated to SAGES by Anil Khetarpal
(This video has no audio)
A 48 years old female patient presented with complaints of severe abdominal pain since 5 days. There was no history of associated nausea or vomiting, fever or altered in bowel habits. On examination patient had tenderness and guarding localized to the right iliac fossa. Blood investigations revealed raised inflammatory markers. Ultrasound whole abdomen and Contrast Enhanced Computed Tomography (CECT) were normal. Patient was managed conservatively but in view of persistence of symptoms a triple puncture diagnostic laparoscopy was performed on day 3 of admission. Omental inflammation with soapy appendix was found and appendicectomy was performed. On further assessment a foreign body was also found in the ileum which was removed and identified as a fish bone. Patient had a satisfactory post operative recovery and was discharged in stable condition.