PT  - JOURNAL ARTICLE
AU  - Bonomaully, Matthew R
AU  - Haque, Zia
AU  - Rao, Milind
TI  - Foreign body perforation of the distal ileum: an unusual cause of right iliac fossa pain managed via single incision laparoscopic surgery (SILS) approach
AID  - 10.1136/bcr-2020-238563
DP  - 2021 Feb 01
TA  - BMJ Case Reports
PG  - e238563
VI  - 14
IP  - 2
4099  - http://casereports.bmj.com/content/14/2/e238563.short
4100  - http://casereports.bmj.com/content/14/2/e238563.full
SO  - BMJ Case Reports2021 Feb 01; 14
AB  - 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.