{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:29Z","timestamp":1787840549704,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Foreign body (FB) ingestion results in perforation in 1% of cases and is associated with significant morbidity and rarely mortality. This case reports the delayed presentation of distal ileal perforation following accidental ingestion of solidified root pulp. A 46-year-old male presented to the emergency department with complaints of right iliac fossa pain, clinical diagnosis of appendicitis was made. Computed tomography of the abdomen revealed an FB in the distal ileum with contained perforation. Revised history was suggestive of FB aspiration during root canal therapy 3 weeks back. The patient underwent diagnostic laparoscopy, removal of FB and primary closure of the perforation. FB was revealed to be solidified root pulp macroscopically and hyalinised material microscopically. Localised perforation following ingestion of FB results in significant morbidity due to delayed diagnosis. With the increasing number of dental procedures, this becomes relevant globally as well. Varied clinical presentations pose diagnostic challenges to the clinician.<\/jats:p>","DOI":"10.4103\/jmas.jmas_312_23","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T13:01:33Z","timestamp":1728565293000},"page":"86-88","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ileal perforation by a solidified root pulp \u2013 Minimally invasive surgery management"],"prefix":"10.4103","volume":"21","author":[{"given":"Anmol","family":"Galhotra","sequence":"first","affiliation":[{"name":"Department of Minimal Access Surgery, Gastrointestinal and Bariatric Surgery, Manipal Hospitals, Dwarka, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepa Kizhakke","family":"Veetil","sequence":"additional","affiliation":[{"name":"Department of Minimal Access Surgery, Gastrointestinal and Bariatric Surgery, Manipal Hospitals, Dwarka, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randeep","family":"Wadhawan","sequence":"additional","affiliation":[{"name":"Department of Minimal Access Surgery, Manipal Hospital, Dwarka, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Department of Minimal Access Surgery, Gastrointestinal and Bariatric Surgery, Manipal Hospitals, Dwarka, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Minimal Access Surgery, Gastrointestinal and Bariatric Surgery, Manipal Hospitals, Dwarka, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"R1-20250114","doi-asserted-by":"crossref","first-page":"38","DOI":"10.7453\/gahmj.2013.008","article-title":"The CARE guidelines:Consensus-based clinical case reporting guideline development","volume":"2","author":"Gagnier","year":"2013","journal-title":"Glob Adv Health Med"},{"key":"R2-20250114","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1186\/1757-1626-1-392","article-title":"Swallowed dental bridge causing ileal perforation:A case report","volume":"1","author":"Rashid","year":"2008","journal-title":"Cases J"},{"key":"R3-20250114","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1111\/iej.13822","article-title":"Prevalence of root canal treatment worldwide:A systematic review and meta-analysis","volume":"55","author":"Le\u00f3n-L\u00f3pez","year":"2022","journal-title":"Int Endod J"},{"key":"R4-20250114","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0016-5107(95)70274-1","article-title":"Management of foreign bodies of the upper gastrointestinal tract:Update","volume":"41","author":"Webb","year":"1995","journal-title":"Gastrointest Endosc"},{"key":"R5-20250114","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1097\/SMJ.0b013e3181dfd8a0","article-title":"Swallowed dental bridge perforating the terminal ileum","volume":"103","author":"Bunni","year":"2010","journal-title":"South Med J"},{"key":"R6-20250114","first-page":"203","article-title":"A lethal ectopic denture:An unusual case of sigmoid perforation due to unnoticed swallowed dental plate","volume":"44","author":"Ghori","year":"1999","journal-title":"J R Coll Surg Edinb"},{"key":"R7-20250114","doi-asserted-by":"crossref","first-page":"144","DOI":"10.4103\/0975-5950.183855","article-title":"Accidental aspiration\/ingestion of foreign bodies in dentistry:A clinical and legal perspective","volume":"6","author":"Yadav","year":"2015","journal-title":"Natl J Maxillofac Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_312_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:24:53Z","timestamp":1787837093000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_312_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_312_23","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,9]]},"assertion":[{"value":"2023-10-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}