{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:59:59Z","timestamp":1777658399816,"version":"3.51.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute appendicitis is one of the most common causes of acute abdominal pain globally. The pathophysiology of acute appendicitis is due to occlusion of the appendiceal lumen commonly from a faecolith. Obstruction of the appendiceal lumen by ingested foreign bodies is possible albeit rare. Here, we present an extremely rare case of acute appendicitis caused by impaction of the patients tooth within the lumen of the appendix. There have been only seven reported cases of impacted teeth causing appendicitis in the literature. There are no evidence-based guidelines for the management of appendicitis caused by tooth impaction. The authors suggest operative management with appendicectomy should be considered in the first instance.<\/jats:p>","DOI":"10.1093\/jscr\/rjac564","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T16:53:33Z","timestamp":1671641613000},"source":"Crossref","is-referenced-by-count":4,"title":["Fatal sepsis from appendicitis caused by an impacted tooth"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9012-5998","authenticated-orcid":false,"given":"Xavier","family":"Field","sequence":"first","affiliation":[{"name":"Department of General Surgery, Waikato Hospital , Hamilton , New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Burton","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Waikato Hospital , Hamilton , New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grant","family":"Christey","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Waikato Hospital , Hamilton , New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"2022122116272626200_ref1","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13017-016-0090-5","article-title":"WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis","volume":"11","author":"Di Saverio","year":"2016","journal-title":"World J Emerg Surg"},{"key":"2022122116272626200_ref2","first-page":"2147","volume-title":"Sabiston Textbook of Surgery: the Biological Basis of Modern Surgical Practice","author":"Townsend","year":"2022","edition":"21st"},{"key":"2022122116272626200_ref3","doi-asserted-by":"crossref","first-page":"227","DOI":"10.3126\/kumj.v8i2.3564","article-title":"Acute appendicitis: analysis of 518 histopathologically diagnosed cases at the Kathmandu University Hospital, Nepal","volume":"8","author":"Makaju","year":"1970","journal-title":"Kathmandu Univ Med J"},{"key":"2022122116272626200_ref4","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1503\/cjs.002014","article-title":"Association between the appendix and the fecalith in adults","volume":"58","author":"Ramdass","year":"2015","journal-title":"Can J Surg"},{"key":"2022122116272626200_ref5","doi-asserted-by":"crossref","first-page":"rjaa543","DOI":"10.1093\/jscr\/rjaa543","article-title":"Re-assessing the role of the fecalith in acute appendicitis in adults: case report, case series and literature review","volume":"2021","author":"Tran","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2022122116272626200_ref6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1038\/bdj.2007.76","article-title":"An unusual extraction; retrieval of a swallowed crown by appendicectomy","volume":"202","author":"Glen","year":"2007","journal-title":"Br Dent J"},{"key":"2022122116272626200_ref7","doi-asserted-by":"crossref","first-page":"967","DOI":"10.7863\/jum.2007.26.7.967","article-title":"Appendicitis caused by a foreign body of dental origin: diagnosis with ultrasonography","volume":"26","author":"Asad","year":"2007","journal-title":"J Ultrasound Med"},{"key":"2022122116272626200_ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2021\/8877671","article-title":"Foreign body ingestion followed by appendiceal perforation","volume":"2021","author":"Qassim","year":"2021","journal-title":"Case Rep Surg"},{"key":"2022122116272626200_ref9","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1159\/000193247","article-title":"Tooth crown foreign body appendicitis","volume":"26","author":"Basu","year":"2009","journal-title":"Dig Surg"},{"key":"2022122116272626200_ref10","first-page":"361","article-title":"Uncommon causes of acute appendicitis: foreign bodies in the cecal appendix","volume":"114","author":"Rodr\u00edguez Lucas","year":"2022","journal-title":"Rev Esp Enfermedades Dig"},{"key":"2022122116272626200_ref11","first-page":"365","article-title":"Unusual cause of the acute appendicitis","volume-title":"Rozhl Chir","year":"2004"},{"key":"2022122116272626200_ref12","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.1056\/NEJMoa2014320","article-title":"A randomized trial comparing antibiotics with appendectomy for appendicitis","volume":"383","author":"The CODA Collaborative","year":"2020","journal-title":"N Engl J Med"},{"key":"2022122116272626200_ref13","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1159\/000016880","article-title":"Ingested foreign bodies within the appendix: a 100-year review of the literature","volume":"16","author":"Klingler","year":"1998","journal-title":"Dig Dis"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/12\/rjac564\/48274143\/rjac564.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/12\/rjac564\/48274143\/rjac564.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T16:53:41Z","timestamp":1671641621000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac564\/6947799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":13,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac564","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,12]]},"published":{"date-parts":[[2022,12,1]]},"article-number":"rjac564"}}