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Foreign body perforation of the distal ileum: an unusual cause of right iliac fossa pain managed via single incision laparoscopic surgery (SILS) approach
  1. Matthew R Bonomaully1,
  2. Zia Haque2 and
  3. Milind Rao2
  1. 1General Surgery, Kettering General Hospital, Kettering, UK
  2. 2General and Colorectal Surgery, Pilgrim Hospital, Boston, Lincolnshire, UK
  1. Correspondence to Matthew R Bonomaully; matt.bonomaully{at}


A 61-year-old woman was seen by the emergency general surgical team with a 2-week history of right iliac fossa pain. Imaging revealed the possibility of a distal ileum perforating foreign body. Using a single incision laparoscopy surgery (SILS) approach, this diagnosis was confirmed at operation. This emerging technique meant a much smaller incision could be used than traditional exploratory laparotomy, with the benefit of less postoperative pain and a faster recovery. This case highlights an uncommon cause for abdominal pain and the importance of close liaison with radiologists and the low threshold for use of laparoscopy as a diagnostic tool. We advocate the use of SILS in the emergency setting for appropriate cases.

  • gastrointestinal surgery
  • general surgery

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  • Contributors MRB: Direct patient care, drafting of the manuscript and preparation of images. MR: Direct patient care, drafting and critical revision of the manuscript. ZH: Radiological diagnosis, critical revision of the manuscript. All authors approved the final manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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