Ingested metallic foreign body lodged in the appendix

Sarkar, Rajib; Bisht, Janki; Roy, Sohini

doi:10.4103/0971-9261.74520

Cited by 11 publications

(10 citation statements)

References 9 publications

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“…The prevalence of acute appendicitis due to foreign body ingestion is 0.0005% [13]. Appendicitis secondary to foreign object ingestion has been reported in cases of swallowed air gun pellets, razorblades, screws, and other metallic objects [30]. Rounded objects may lay dormant in the appendix for a long time asymptomatically and suddenly present as right lower quadrant abdominal pain years later, requiring surgical intervention [31].…”

Section: Complications Of Foreign Body Impactionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Bekkerman

Sachdev

Andrade³

et al. 2016

Gastroenterology Research and Practice

109

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Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.

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Section: Complications Of Foreign Body Impactionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Bekkerman

Sachdev

Andrade³

et al. 2016

Gastroenterology Research and Practice

109

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“…Klinger et al propose the endoscopic removal of all foreign bodies by upper gastrointestinal endoscopy; if this procedure is not available, the case should be accompanied with serial radiographs and leucograms. 8 Colonoscopy should be used to remove stationary objects in the lower right quadrant of the abdomen for a period of at least 72 h, even if these objects are asymptomatic. 8,9 In fact, thin and pointed impacted objects show a greater propensity to cause symptoms, around 93% of cases; abscesses (88%) or intestinal perforation (70%) are the most common findings.…”

Section: Discussionmentioning

confidence: 99%

“…8 Colonoscopy should be used to remove stationary objects in the lower right quadrant of the abdomen for a period of at least 72 h, even if these objects are asymptomatic. 8,9 In fact, thin and pointed impacted objects show a greater propensity to cause symptoms, around 93% of cases; abscesses (88%) or intestinal perforation (70%) are the most common findings. On the other hand, blunt objects may be asymptomatic for long periods, and an incidence of up to 66% of appendicitis in the case of impaction of such objects was reported.…”

Section: Discussionmentioning

confidence: 99%

Appendicitis caused by ingestion of metal foreign body

Neto

Guerini

Almeida

2015

Journal of Coloproctology

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Introduction The ingestion of foreign bodies is a frequent occurrence, especially among children. The majority of these objects travel safely through the gastrointestinal tract, without causing symptoms or leaving sequelae. Acute appendicitis is the emergency surgical pathology of greater prevalence. However, the impaction of a foreign body into the appendicular lumen as an etiologic agent of appendicitis is a very rare event. Case report We describe the case of a 21-year-old male patient with lower abdominal pain over approximately six days, in association with vomiting, fever and abdominal distension. After imaging studies, a radiopaque foreign body was identified in a pelvic topography, with distention and air-fluid levels in intestinal loops. Our patient was submitted to an open appendectomy, evidencing acute perforated appendicitis and the presence of two foreign bodies in its lumen. The patient progressed satisfactorily in the post-operative period, with use of broad-spectrum antibiotics. Discussion Foreign bodies impacted in the gastrointestinal tract are usually removed by endoscopic techniques. When these bodies cause infections, there should be a resolution, preferably by surgical laparoscopy, which will serve both for diagnostic as therapeutic purposes.

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“…To the best of our knowledge, this is the first report of magnets being impacted in the appendix. Other foreign bodies encountered in the pediatric population and found in PubMed and Google Scholars were metallic screws, needles, firearm pellets, hazelnut, canine hair, sand and stones, metal coil, seeds, the tip of mercury thermometer, plastic pieces, metal beads, nail, and a small blunt metallic object [7][8][9][10][11][12][13][14][15][16][17][18][19]. Upon reviewing the previous case reports, 21 cases were found.…”

Section: Discussionmentioning

confidence: 99%

Magnet Beads Impacted in the Appendix of a Child: A Case Report and Review of the Literature

Nazzal

Ahmed

et al. 2020

Cureus

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Foreign body ingestion is a commonly encountered problem in the pediatric population, which can be a source of severe distress to parents and caregivers. Certain foreign bodies such as magnets, bones, and button batteries can be particularly dangerous and lead to some serious complications like gastrointestinal obstruction, perforation, or bleeding depending on the nature of the foreign body, the location of impaction, and the period since ingestion. In this report, we discuss a case of a 23-month-old girl who ingested multiple magnets that got trapped within the appendix resulting in continuous vomiting.

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Ingested metallic foreign body lodged in the appendix

Abstract: An 8-year-old child ingested a metallic screw 3 months prior to admission. At laparotomy, the foreign body was found to be lodged inside the vermiform appendix, and was removed by appendicectomy.

Cited by 11 publications

References 9 publications

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Appendicitis caused by ingestion of metal foreign body

Magnet Beads Impacted in the Appendix of a Child: A Case Report and Review of the Literature

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