Acute appendicitis due to hair follicle obstruction: a rare case report

Abdullazade, Samir; Bayar, Bahattin; Can, Mehmet; Altinsoy, Ezgi; Kızıloğlu, İlker

doi:10.5114/pg.2017.68043

Cited by 1 publication

(1 citation statement)

References 8 publications

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“…On the retrospective review of 64 case reports [5, (from 1971 to 2022) describing appendicitis induced by foreign body and fulfilling the inclusion criteria, we recorded the patient age, gender, type of foreign body, diagnostic imaging identifying the FB in the appendix, and management. Cases were reported from 25 countries, with 18 cases reported from USA [8][9][10][11][12][13][14][15][16][17][18][19], seven from UK [5,[20][21][22][23][24][25], five from Japan [26][27][28][29][30] and Korea [31][32][33][34][35] each, three from the Netherlands [36][37][38] and from Turkey [39][40][41]. Australia [42,43], Ecuador [44,45], Italy [46,47] and Taiwan [48,49] each had two cases while the rest of the following reported only one case: Austria, Cameroon, China, Croatia, France, Germany, Iran, Ireland, Kuwait, Morocco, New Zealand, Peru, Saudi Arabia, Singapore and Spain…”

Section: Resultsmentioning

confidence: 99%

Appendiceal Foreign Bodies in Adults: A Systematic Review of Case Reports

Abdalla¹,

Nour²,

Qasim³

et al. 2023

Cureus

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Adults can accidentally swallow foreign bodies (FBs) with food. In rare occasions, these can lodge in the appendix lumen causing inflammation. This is known as foreign body appendicitis. We conducted this study to review different types and management of appendiceal FBs. A comprehensive search on PubMed, MEDLINE, Embase, Cochrane Library and Google Scholar was performed to detect appropriate case reports for this review. Case reports eligible for this review included patients above 18 years of age with all types of FB ingestion causing appendicitis. A total of 64 case reports were deemed to be eligible for inclusion in this systematic review. The patient mean age was 44.3 ± 16.7 years (range, 18-77). Twenty-four foreign bodies were identified in the adult appendix. They were mainly lead shot pellet, fishbone, dental crown or filling, toothpick, and others. Forty-two percent of the included patients presented with classic appendicitis pain, while 17% were asymptomatic. Moreover, the appendix was perforated in 11 patients. Regarding modalities used for diagnosis, computed tomography (CT) scans confirmed the presence of FBs in 59% of cases while X-ray only managed to detect 30%. Almost all of the cases (91%) were treated surgically with appendicectomy and only six were managed conservatively. Overall, lead shot pellets were the most common foreign body found. Fishbone and toothpick accounted for most of the perforated appendix cases. This study concludes that prophylactic appendicectomy is recommended for the management of foreign bodies detected in the appendix, even if the patient is asymptomatic.

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