Appendicitis with perforation caused by metal dental graft: A case report.

Rationale: Under normal circumstances, foreign objects in the digestive tract can be expelled naturally through the anus via the digestive tract's peristalsis mechanism. In clinical practice, foreign bodies ingested orally seldom pass through the cecum into the appendiceal lumen, potentially leading to secondary appendicitis or even perforation - a highly infrequent but severe complication. This article aims to share our experience and insights in managing such rare cases, exploring diagnostic pathways and treatment options, and serving as a reference for colleagues.

Patient concerns: A 57-year-old male patient may have accidentally ingested a tooth graft, resulting in right lower quadrat pain. Based on the physical examination and imaging findings, the likelihood of AA with perforation is high.

Diagnoses: Acute appendicitis (AA) with perforation.

Interventions: Laparoscopic appendectomy (LA) and removal of foreign bodies.

Outcomes: After surgical treatment, the patient recovered well, and there were no recent complications such as wound infection, incisional hernia, and massive hemorrhage.

Lessons: In the diagnosis of appendicitis caused by foreign bodies, clinical history, physical examination, and imaging are crucial to the diagnosis of the disease. Once diagnosed, surgery should be taken quickly. LA offers several advantages, including minimal trauma, excellent visualization, precise treatment outcomes, and swift patient recovery. Therefore, we recommend it as the preferred treatment for appendiceal perforation caused by foreign bodies.