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Ingested Foreign Bodies Can Cause Appendicitis and Perforation: A Multi-Institutional Case Series
Maren Y Fuller1, Daniel G Leino2, Miguel Reyes-Múgica3
1Texas Children's Hospital/Baylor College of Medicine, 3989Houston, TX, USA.
Summary
Foreign bodies in the appendix are rare but can cause appendicitis, even perforation. Common culprits include hair and plant material, while metallic objects are less frequent.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Pathology
Background:
- Appendicular foreign bodies are an uncommon cause of appendicitis.
- This study investigates the diverse origins and outcomes of foreign-body-induced appendicitis.
Purpose of the Study:
- To identify the types of foreign bodies causing appendicitis.
- To understand the clinical presentation and pathological consequences of foreign-body appendicitis.
Main Methods:
- Retrospective review of 56 appendix specimens from seven institutions.
- Analysis of foreign body type, patient demographics, and clinical findings.
Main Results:
- Mean patient age was 7.7 years; common foreign bodies included hair and plant material.
- 31 patients presented with abdominal pain; 22 were diagnosed with appendicitis.
- Seven patients (13%) experienced appendiceal perforation.
Conclusions:
- Hair and plant materials are frequent causes, often leading to mucosal damage and giant cell reactions.
- Metallic foreign bodies are less common.
- Appendicular foreign bodies in children, though rare, can be asymptomatic or lead to perforation.
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