Foreign Bodies in the Appendix

Balch, Charles M.; Donald, Silver

doi:10.1001/archsurg.1971.01350010016004

Cited by 79 publications

(38 citation statements)

References 37 publications

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“…Recognising the importance of his observations he wrote, 'The instance may stand as a proof of the possibility of inflammation arising, and ab scess forming in the appendicula', but this statement was largely ignored for the next 150 years. Interestingly Mestivier [10] in 1759 described perforation of the appendix due to a pin, and a long list of appendicular foreign bodies has since been reported [11].…”

Section: Pathologymentioning

confidence: 99%

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The Continuing Challenge of Acute Appendicitis

Cooper¹,

Williamson²

1985

Dig Dis

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Section: Pathologymentioning

confidence: 99%

“…Luminal obstruction may be secondary to lymphoid hyperplasia (catarrhal appendi citis), but more commonly results from faecoliths [21], foreign bodies [11] or adhesions (obstructive appendicitis). In an obstructed uncontaminated appendix a mucocele is formed, but much more commonly second ary infection occurs and acute appendicitis develops.…”

Section: Pathologymentioning

confidence: 99%

The Continuing Challenge of Acute Appendicitis

Cooper¹,

Williamson²

1985

Dig Dis

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“…The literature is replete with articles of foreign-body appendicitis and periappendicitis, including three comprehensive review articles on this topic [1-3]. These articles have reported many types of ingested foreign bodies within the appendix.…”

Section: Introductionmentioning

confidence: 99%

“…Klinger et al reported that ingested foreign bodies account for the 0.0005% of the aetiology of acute appendicitis [1]. Hard pointed objects such as toothpicks, pins, needles, nails, and screws are prone to causing perforation, but other foreign bodies —some seemingly innocuous— such as thread, chewing gum, and hair have been reported as the likely causes of appendicitis resulting from obstruction, as have lodged bullets, ingested lead shot, and parasitic worms topic [1-3]. …”

Section: Introductionmentioning

confidence: 99%

Acute contact appendicitis due to a migrated pericardial drain: a case report

Paramythiotis

Papavramidis

Papadopoulos

et al. 2009

Cases J

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IntroductionThe literature is replete with articles of foreign-body appendicitis and periappendicitis, but to our knowledge there are only two reports of extraintestinal foreign bodies causing contact appendicitis.Case presentationA 47-year old woman presented to the emergency department with a 24-hour history of right iliac fossa pain, nausea and vomiting, high fever and palpable right iliac fossa mass. The patient had an anamnestic of systemic lupus erythematosus, that caused acute pericarditis with effusion, that was treated with pericardiotomy and a pericardial drain. The laboratory tests showed leukocytosis The plain abdomen film showed no radiologic signs corresponding to acute abdomen, while the computed tomography revealed a radio-opaque formation in the right iliac fossa, corresponding to the palpable mass. Exploratory laparotomy revealed a pericardial drain. The microbiologic analysis of the abscess revealed Salmonella. The postoperative course of the patient was uneventful.ConclusionAcute appendicitis due to a foreign body, without an anamnestic of either surgery or injury may cause a severe diagnostic dilemma. The computed tomography images may lead to logic riddles that have to be solved by an explorative laparotomy. Foreign bodies rarely cause acute abdomen, nevertheless the probability has to be considered when an interventional technique has been applied even if the location of the intervention is far from the abdominal cavity.

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“…Exogenous foreign bodies have been reported as the cause of appendicitis in ~0.005–5.54% of cases [34]. Various materials causing acute appendicitis have been reported, such as lead shot, metal needles, dental drill bits, toothbrush bristles, animal bones, and fruit seeds [3456]. An appendectomy, cecotomy, or ileotomy may be necessary to remove the foreign body.…”

mentioning

confidence: 99%