An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis

Most ingested foreign bodies usually pass out in the feces uneventfully. Complications such as intestinal perforation and bleeding usually occur with sharp, thin, stiff, long, and pointed objects. This case describes the management of three lead pellets within the appendix vermiformis. A 45-year-old...

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Autores principales: Ozkan, Orhan Veli, Muderris, Vecdi, Altintoprak, Fatih, Yagmurkaya, Orhan, Yalkin, Omer, Celebi, Fehmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4464593/
https://www.ncbi.nlm.nih.gov/pubmed/26106500
http://dx.doi.org/10.1155/2015/496372
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author Ozkan, Orhan Veli
Muderris, Vecdi
Altintoprak, Fatih
Yagmurkaya, Orhan
Yalkin, Omer
Celebi, Fehmi
author_facet Ozkan, Orhan Veli
Muderris, Vecdi
Altintoprak, Fatih
Yagmurkaya, Orhan
Yalkin, Omer
Celebi, Fehmi
author_sort Ozkan, Orhan Veli
collection PubMed
description Most ingested foreign bodies usually pass out in the feces uneventfully. Complications such as intestinal perforation and bleeding usually occur with sharp, thin, stiff, long, and pointed objects. This case describes the management of three lead pellets within the appendix vermiformis. A 45-year-old male visited our clinic complaining of a 4-month history of abdominal pain. The patient inquiry revealed that he had eaten hunted rabbit meat on numerous occasions and had unintentionally ingested three lead pellets. Plain abdominal films and a barium enema showed foreign bodies in the right lower abdominal quadrant. Since the lead pellets were thought to have migrated extraluminally, they were removed through laparotomy under fluoroscopic guidance. An appendectomy was performed. Pathologically, three lead pellets were embedded in the appendix, which showed signs of intramucosal inflammation. Foreign bodies causing appendicitis are rare. However, if stiff or pointed objects enter the appendicular lumen, there is a high risk of appendicitis, perforation, or abdominal pain. An appendectomy was required to remove the ingested lead pellets in the appendix.
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spelling pubmed-44645932015-06-23 An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis Ozkan, Orhan Veli Muderris, Vecdi Altintoprak, Fatih Yagmurkaya, Orhan Yalkin, Omer Celebi, Fehmi Case Rep Surg Case Report Most ingested foreign bodies usually pass out in the feces uneventfully. Complications such as intestinal perforation and bleeding usually occur with sharp, thin, stiff, long, and pointed objects. This case describes the management of three lead pellets within the appendix vermiformis. A 45-year-old male visited our clinic complaining of a 4-month history of abdominal pain. The patient inquiry revealed that he had eaten hunted rabbit meat on numerous occasions and had unintentionally ingested three lead pellets. Plain abdominal films and a barium enema showed foreign bodies in the right lower abdominal quadrant. Since the lead pellets were thought to have migrated extraluminally, they were removed through laparotomy under fluoroscopic guidance. An appendectomy was performed. Pathologically, three lead pellets were embedded in the appendix, which showed signs of intramucosal inflammation. Foreign bodies causing appendicitis are rare. However, if stiff or pointed objects enter the appendicular lumen, there is a high risk of appendicitis, perforation, or abdominal pain. An appendectomy was required to remove the ingested lead pellets in the appendix. Hindawi Publishing Corporation 2015 2015-05-28 /pmc/articles/PMC4464593/ /pubmed/26106500 http://dx.doi.org/10.1155/2015/496372 Text en Copyright © 2015 Orhan Veli Ozkan et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ozkan, Orhan Veli
Muderris, Vecdi
Altintoprak, Fatih
Yagmurkaya, Orhan
Yalkin, Omer
Celebi, Fehmi
An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
title An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
title_full An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
title_fullStr An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
title_full_unstemmed An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
title_short An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
title_sort unusual cause of abdominal pain: three lead pellets within the appendix vermiformis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4464593/
https://www.ncbi.nlm.nih.gov/pubmed/26106500
http://dx.doi.org/10.1155/2015/496372
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