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Delayed appendicitis from an ingested foreign body

S M Green1, S P Schmidt, S G Rothrock

  • 1Department of Emergency Medicine, Riverside General Hospital, CA 92503.

The American Journal of Emergency Medicine
|January 1, 1994
PubMed
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A swallowed metal drill bit caused acute appendicitis after 3 years. The foreign body, coated in hardened stool (fecalith), eventually blocked the appendix, leading to inflammation.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendicitis is a common surgical emergency.
  • Foreign body ingestion is rare but can lead to gastrointestinal complications.

Observation:

  • A 27-year-old man presented with acute appendicitis.
  • Imaging revealed a metal drill bit within the appendix, coated by a fecalith.

Findings:

  • The ingested foreign body acted as a nidus for fecalith formation.
  • Enlargement of the fecalith caused luminal obstruction, mimicking typical appendicitis.

Implications:

  • This case highlights a rare etiology of appendicitis.
  • Foreign bodies should be considered in the differential diagnosis of appendicitis, especially with a prolonged history.

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