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Updated: Jun 5, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
An unusual case of asymptomatic appendicular cutting foreign body
M Bertozzi1, N Nardi, F Falcone
1S.C. di Clinica Chirurgica Pediatrica, Ospedale S. Maria della Misericordia, Perugia, Italy. mirkobertozzi@hotmail.com
Insights
Foreign body ingestion in children is common, sometimes leading to appendicitis or perforation. Prophylactic appendectomy is recommended for appendix foreign bodies to prevent complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Foreign body ingestion is a frequent pediatric emergency.
- Appendiceal lumen foreign bodies can cause serious complications like perforation and appendicitis.
Observation:
- A case of an asymptomatic ingested cutting foreign body within the appendix is presented.
- The foreign body remained asymptomatic, posing a diagnostic challenge.
Findings:
- Appendiceal foreign bodies, even asymptomatic ones, carry a risk of perforation or appendicitis.
- Prophylactic appendectomy is a recommended management strategy for foreign bodies in the appendix.
Implications:
- Highlights the importance of considering appendiceal foreign bodies in pediatric patients with gastrointestinal symptoms.
- Underscores the role of prophylactic appendectomy in preventing severe complications associated with retained foreign bodies in the appendix.
Abstract:
Foreign body ingestion is a common problem in pediatric age. Foreign bodies in the lumen of appendix is a well known event. In this condition perforation or appendicitis may occur even for blunt or sharp objects. For these reasons, in case of stasis of foreign body in the lumen of appendix a prophylactic appendectomy is recommended. A case of asymptomatic ingested cutting foreign body in the appendix is presented and the approach is discussed according to the literature data.
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