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["Cecal appendix with pellets"].

L S Spitale1, M A D'Olivo

  • 1Cátedra de Patología, Sanatorio Caroya, Córdoba, Argentina.

Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|January 1, 1989
PubMed
Summary

A hunter presented with biliary symptoms, revealing 99 birdshots in his appendix. This rare case highlights unusual foreign bodies in the appendix and their potential complications.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Radiology

Background:

  • Appendicitis is a common surgical emergency, but foreign bodies within the appendix are rare.
  • Ingestion of foreign bodies can lead to gastrointestinal complications, including appendiceal perforation and obstruction.

Observation:

  • A 38-year-old male with biliary pathology symptoms underwent cholecystectomy.
  • An elongated, heavy cecal appendix was noted and removed during surgery.
  • Pathological examination revealed 99 lead birdshots (1-5 mm diameter) within the appendiceal lumen.

Findings:

  • The appendix contained a significant number of ingested birdshots without evidence of active appendicitis.
  • The patient was an avid hunter who consumed pickled wild game.

Implications:

  • This case underscores the importance of considering unusual foreign bodies in the differential diagnosis of appendiceal pathology, especially in patients with relevant exposure history.
  • The presence of multiple foreign bodies, even without acute inflammation, warrants careful consideration for potential long-term complications.
  • Reviewing literature on foreign bodies in the appendix provides insights into incidence, clinical presentations, and management strategies.

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