{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:04:42Z","timestamp":1778864682359,"version":"3.51.4"},"reference-count":5,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,15]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2020-238563","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T11:21:59Z","timestamp":1613560919000},"page":"e238563","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Foreign body perforation of the distal ileum: an unusual cause of right iliac fossa pain managed via single incision laparoscopic surgery (SILS) approach"],"prefix":"10.1136","volume":"14","author":[{"given":"Matthew R","family":"Bonomaully","sequence":"first","affiliation":[{"name":"General Surgery, Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zia","family":"Haque","sequence":"additional","affiliation":[{"name":"General and Colorectal Surgery, Pilgrim Hospital, Boston, Lincolnshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milind","family":"Rao","sequence":"additional","affiliation":[{"name":"General and Colorectal Surgery, Pilgrim Hospital, Boston, Lincolnshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"2025082803245388000_14.2.e238563.1","unstructured":"Association of Surgeons of Great Britain and Ireland . Royal College of Sugeons of England Commissioning guide. In: Emergency general surgery (acute abdominal pain. London: RCS, 2014."},{"key":"2025082803245388000_14.2.e238563.2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1590\/0100-3984.2015.0127","article-title":"Intestinal perforation by an ingested foreign body","volume":"49","author":"Nicolodi","year":"2016","journal-title":"Radiol Bras"},{"key":"2025082803245388000_14.2.e238563.3","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1308\/003588411X590358","article-title":"Single incision laparoscopic surgery in general surgery: a review","volume":"93","author":"Greaves","year":"2011","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082803245388000_14.2.e238563.4","doi-asserted-by":"crossref","first-page":"3088","DOI":"10.19082\/3088","article-title":"Single-Incision laparoscopy surgery: a systematic review","volume":"8","author":"Far","year":"2016","journal-title":"Electron Physician"},{"key":"2025082803245388000_14.2.e238563.5","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.ijscr.2017.08.047","article-title":"Laparoscopic assisted foreign body extraction from the small bowel: a case report","volume":"41","author":"Mohamed Aboulkacem","year":"2017","journal-title":"Int J Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:25:16Z","timestamp":1756376716000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":5,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,17]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-238563"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238563","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}