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Related Experiment Videos

Bullet fragment within the appendix: a case report.

Thomas V Mincheff1

  • 1Hartsville Surgical Center; 704 Medical Park Drive, Hartsville, SC 29550, USA.

Journal of the South Carolina Medical Association (1975)
|February 5, 2005
PubMed
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A child with abdominal pain was found to have a bullet fragment in his appendix, leading to elevated lead levels. An appendectomy was performed to prevent complications from the retained foreign body and potential lead toxicity.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Toxicology

Background:

  • Abdominal pain is a common pediatric complaint requiring thorough diagnostic evaluation.
  • Foreign body ingestion can present with varied and sometimes unexpected symptoms.
  • Lead (Pb) toxicity is a serious concern, particularly in children, with potential long-term health consequences.

Observation:

  • A 9-year-old male presented with abdominal pain and was incidentally found to have a metal fragment near the sacroiliac joint on imaging.
  • Further investigation confirmed the metal fragment was lodged within the distal appendix.
  • The family reported consuming wild game, suggesting the fragment was from a bullet.

Findings:

  • The appendix contained a retained bullet fragment, likely ingested through consumption of game meat.

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  • The child exhibited an elevated blood lead (Pb) level of 16ug/dl.
  • The retained fragment posed a risk for appendicitis and chronic lead exposure.

    • Implications:

    • This case highlights the importance of considering unusual foreign body ingestions in pediatric patients.
    • Prophylactic appendectomy can be a viable option to prevent complications from retained appendiceal foreign bodies.
    • Early identification and management of lead exposure are crucial for preventing toxicity in children.