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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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/496372 |
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| author | Orhan Veli Ozkan Vecdi Muderris Fatih Altintoprak Orhan Yagmurkaya Omer Yalkin Fehmi Celebi |
| author_facet | Orhan Veli Ozkan Vecdi Muderris Fatih Altintoprak Orhan Yagmurkaya Omer Yalkin Fehmi Celebi |
| author_sort | Orhan Veli Ozkan |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-de0bbf150de747a18e84ecca5a792af7 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-de0bbf150de747a18e84ecca5a792af72025-02-03T05:57:36ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/496372496372An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix VermiformisOrhan Veli Ozkan0Vecdi Muderris1Fatih Altintoprak2Orhan Yagmurkaya3Omer Yalkin4Fehmi Celebi5Department of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, TurkeyDepartment of General Surgery, Research and Educational Hospital, Sakarya University, Sakarya, TurkeyDepartment of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, TurkeyDepartment of General Surgery, Research and Educational Hospital, Sakarya University, Sakarya, TurkeyDepartment of General Surgery, Research and Educational Hospital, Sakarya University, Sakarya, TurkeyDepartment of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, TurkeyMost 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.http://dx.doi.org/10.1155/2015/496372 |
| spellingShingle | Orhan Veli Ozkan Vecdi Muderris Fatih Altintoprak Orhan Yagmurkaya Omer Yalkin Fehmi Celebi An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis Case Reports in Surgery |
| 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 |
| url | http://dx.doi.org/10.1155/2015/496372 |
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