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Delayed appendicitis from an ingested foreign body

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      Abstract

      An unusual case of acute appendicitis induced by a metal drill bit that was ingested by a 27-year-old man 3 years before presentation is reported. This foreign body lodged in the patient's appendix and developed a fecalith coating. When this fecalith coating enlarged enough to obstruct the appendiceal lumen, the patient presented with classic acute appendicitis. Foreign body-induced appendicitis is reviewed.

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      References

        • Kennedy JW
        Foreign bodies in the appendix.
        New York Med J. 1914; 99: 222-223
        • Caravati M
        • Bennett DL
        • McElwee NE
        Pediatric coin ingestion: Prospective study on the utility of routine roentgenograms.
        Am J Dis Child. 1989; 143: 549-551
        • Schunk JE
        • Corneli H
        • Bolte R
        Pediatric coin ingestions: A prospective study of coin location and symptoms.
        Am J Dis Child. 1989; 143: 546-548
        • Hodge D
        • Techlenburg F
        • Fleischer G
        Coin ingestion: Does every child need a radiograph?.
        Ann Emerg Med. 1985; 14: 443-446
        • Walker AR
        • Segal I
        What causes appendicitis?.
        J Clin Gastroenterol. 1990; 12: 127-129
        • Collins DC
        71,000 human appendix specimens: A final report, summarizing forty years study.
        Am J Proctol. 1963; 14: 365-381
        • Horby-Petersen J
        • Kristiansen T
        • Jelnes R
        Acute appendicitis caused by metallic foreign body.
        Acta Chir Scand. 1981; 153: 697-698
        • Rydell jr, WB
        Bullet appendicitis: A new form of lead poisoning.
        Rocky Mt Med J. 1970; 67: 48-50
        • Price J
        • Dewar GA
        • Metreweli C
        Airgun pellet appendicitis.
        Austr Radiol. 1988; 32: 368-370
        • Sherlock DJ
        • Ambrose NS
        An unusual case of appendicitis.
        J R Coll Surg Edinb. 1985; 30: 318
        • Beccaria A
        • Troncone S
        Acute appendicitis due to a foreign body.
        Minerva Gastroenterol. 1965; 11: 90-92
        • Mourad K
        • Johanet H
        • Guibert L
        • et al.
        Appendicitis caused by gold.
        Presse Med. 1990; 19 (letter): 1592
        • Thomsen LC
        • Appleton SS
        • Engstrom HI
        Appendicitis induced by an endodontic file.
        Gen Dent. 1989; 37: 50-51
        • Franke A
        • Smolka G
        • Appelt E
        • et al.
        The appendix as a foreign body reservoir.
        Zentralbl Chir. 1985; 110: 692-694
        • Rubinoff ML
        IUD appendicitis.
        JAMA. 1975; 231: 67-68
        • Balch CM
        • Silver D
        Foreign bodies in the appendix. Report of eight cases and review of the literature.
        Arch Surg. 1971; 102: 14-20
        • Durlach V
        • Lisovoski F
        • Gross A
        • et al.
        Appendicectomy in an unusual case of lead poisoning.
        Lancet. 1986; 1: 687-688
        • Carey LS
        Lead shot appendicitis in northern native people.
        J Can Assoc Radiol. 1977; 28: 171-174
        • Rosell J
        • Guerrero JA
        • Morales V
        • et al.
        Acute appendicitis after game ingestion.
        Rev Esp Enferm Apar Dig. 1988; 74 (letter): 690-691
        • Nash WG
        Foreign bodies in an appendix lying in a right inguinal hernia.
        Br Med J. 1931; 1: 139
        • Reddy ER
        Retained lead shot in the appendix.
        J Can Assoc Radiol. 1985; 36: 139
        • Deffrenne P
        • Pracros JP
        Intra-appendicular foreign bodies.
        J Belge Radiol. 1987; 70: 205-209
        • Wruhs O
        Unusual differential diagnosis of appendicitis in pregnancy.
        Zentralbl Chir. 1966; 91: 1958-1961
        • Creese PG
        The first appendectomy.
        Surg Gynecol Obstet. 1953; 97: 643-652
        • Wood MK
        • Harrison MR
        ‘A-pin-dicitis’ and liver abscess.
        JAMA. 1981; 246: 940
        • Stenstrom JD
        • Raine RJ
        The nonmigrating pin.
        Can Med Assoc J. 1978; 118: 1200
        • Duckler L
        Foreign body producing appendicitis.
        Clin Pediatr. 1976; 15: 383
        • Conforti FP
        • Smego DR
        • Kazarian KK
        Halloween appendicitis: Pin perforation of the appendix.
        Conn Med. 1987; 51: 507
        • Keen WW
        A case of appendicitis in which the appendix became permanently soldered to the bladder, like a third ureter, producing a urinary fecal fistula.
        Trans Am Surg Assoc. 1898; 16: 243-252
        • Rebentisch
        One hundred foreign bodies in an appendix.
        JAMA. 1905; 44: 1815
        • Komarnitski ES
        • Koval'chuk AZ
        A foreign body causing acute appendicitis.
        Klin Khir. 1990; : 72
        • Svitich IM
        Foreign bodies of the appendix as a cause of acute appendicitis.
        Klin Khir. 1983; : 49
        • Stretch J
        • Bilous M
        • Cass D
        Tricholuminal appendicitis: An unusual cause.
        Aust N Z J Surg. 1986; 56: 731-732
        • Nadler S
        • Cappell MS
        • Bhatt B
        • et al.
        Appendiceal infection by Entameoba histolytica and Strongyloides stercoralis presenting like acute appendicitis.
        Dig Dis Sci. 1990; 35: 603-608
        • Benedikt VV
        • Kovalevski BA
        Foreign body of the appendix as the cause of acute appendicitis.
        Klin Khir. 1988; : 64
        • Perkins CS
        Amalgam appendicitis.
        Br Dent J. 1991; 171: 309
        • Fraser KD
        A clinical trial to evaluate plaque removal with a double-headed toothbrush.
        Br Dent J. 1991; 171: 195
        • Ban JL
        • Hirose FM
        • Benfield JR
        Foreign bodies of the biliary tract: Report of two patients and a review of the literature.
        Ann Surg. 1972; 176: 102-107
        • Cockerill FR
        • Wilson WR
        • Van Scoy RE
        Traveling toothpicks.
        in: ed 11. Mayo Clin Proc. 58. 1983: 613-616 (9)
        • Schroder K
        Cecum perforation by a foreign body with appendicitis symptoms.
        Zentralbl Chir. 1968; 93: 626-630
        • Krasnozhon GI
        Perforation of the ileum by a fish bone associated with acute phlegmonous appendicitis.
        Klin Khir. 1988; : 66
        • Kos R
        • Hangos G
        • Prekopp L
        Foreign body perforation simulating acute appendicitis.
        Klin Med Osterr Z Wiss Prakt Med. 1966; 21: 574-577
        • Gregorie Jr, HB
        • Herbert KH
        Foreign body perforation of Meckel's diverticulum.
        Am Surg. 1967; 33: 231-233
        • Kurzbauer R
        • Kurzbauer E
        • Kloza A
        • et al.
        Perforation of Meckel's diverticulum by a foreign body.
        Pol Przegl Chir. 1979; 51: 683-684
        • Porfiri L
        • Capponi E
        Pathology of Meckel's diverticulum.
        Minerva Med. 1972; 63: 505-516
        • Rothrock SG
        • Green SM
        • Harding M
        • et al.
        Plain abdominal radiography in the detection of acute medical and surgical disease in children: A retrospective analysis.
        Pediatr Emerg Care. 1991; 7: 281-285
        • Rothrock SG
        • Green SM
        • Hummel CB
        Plain abdominal radiography in the detection of major disease in children: A prospective analysis.
        Ann Emerg Med. 1992; 21: 1423-1429
        • Campbell JP
        • Gunn AA
        Plain abdominal radiographs and acute abdominal pain.
        Br J Surg. 1988; 75: 554-556
        • Brewer RJ
        • Golden GT
        • Hitch DC
        • et al.
        Abdominal pain: An analysis of 1,000 consecutive cases in a university hospital emergency room.
        Am J Surg. 1976; 131: 219-223