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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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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. |
format | Online Article Text |
id | pubmed-4464593 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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