Home | About Us | Current Issue | Ahead of print | Archives | Search | Instructions | Subscription | Feedback | Editorial Board | e-Alerts | Login 
Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
 Users Online:366 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size


 
Table of Contents   
CASE REPORT
Year : 2011  |  Volume : 16  |  Issue : 1  |  Page : 29-30
 

Ingested metallic foreign body lodged in the appendix


Department of Pediatric Surgery, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, India

Date of Web Publication3-Jan-2011

Correspondence Address:
R R Sarkar
Flat J-3-E, Saoura Niloy Housing Complex 1, Kailash Ghosh Road, Kolkata 700008
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 21430847

Rights and PermissionsRights and Permissions

 

   Abstract 

An 8-year-old child ingested a metallic screw 3 months prior to admission. At laparotomy, the foreign body was found to be lodged inside the vermiform appendix, and was removed by appendicectomy.


Keywords: Appendicitis, foreign body, vermiform appendix


How to cite this article:
Sarkar R R, Bisht J, Sinha Roy S K. Ingested metallic foreign body lodged in the appendix. J Indian Assoc Pediatr Surg 2011;16:29-30

How to cite this URL:
Sarkar R R, Bisht J, Sinha Roy S K. Ingested metallic foreign body lodged in the appendix. J Indian Assoc Pediatr Surg [serial online] 2011 [cited 2018 Jan 23];16:29-30. Available from: http://www.jiaps.com/text.asp?2011/16/1/29/74520



   Introduction Top


Appendicitis due to foreign bodies is very rare. [1],[2],[3],[4] Stones, bullets, air gun pellets, pins, etc. have been described in the appendix. We present an 8-year-old boy who was found to have a metallic screw within the appendix.


   Case Report Top


An 8-year-old boy presented with a history of ingestion of a metallic screw about 3 months back, and otherwise asymptomatic. The physical examination and the laboratory investigations were within normal limits. Plain radiographs [Figure 1] of the abdomen showed a metallic screw in the right lower quadrant. At laparotomy, the screw was located inside the appendix. An appendicectomy was performed. The appendicular lumen was opened with a scalpel, and the screw was seen to be lodged inside it. The postoperative period was uneventful.
Figure 1: Plain abdominal radiograph showing the metallic screw in the right iliac fossa

Click here to view



   Discussion Top


To the best of our knowledge, this is the third case of metallic screw as a foreign body lodged inside the appendix in a child. [5],[6] Needles, [1],[2] shotgun pellets, [4] bird shots, [7] hazelnut, [8] canine hair, [9] sand, and stones [10] have been reported to be causes of foreign body appendicitis in children. In a series of 217 cases of appendiceal foreign bodies reviewed by Balch and Silver, [3] pins were found to be the most common. The reported incidence of bowel perforation is less than 1%, especially with sharp, thin, pointed or long objects. [11]

 
   References Top

1.Sukhotnik I, Klin B, Siplovich L, Foreign body appendicitis. J Pediatr Surg 1995;30:1515-6.  Back to cited text no. 1
    
2.Sinha DD, Sharma C, Gupta V, Chaturvedi V. Sewing needle appendicitis in a child. Indian J Gasroenterol 2004;23:219-20.   Back to cited text no. 2
    
3.Balch CM, Silver D. Foreign bodies in the appendix. Arch Surg 1971;102:14-20.  Back to cited text no. 3
    
4.Losanoff JE, Jones JW, Richner OW. Acute appendicitis resulting from intraluminal shotgun pellets. ANZ J Surg 2002;72:168.  Back to cited text no. 4
    
5.Samujh R, Mansoor K, Khan I, Mannan A. Screw appendicitis. Indian Pediatr 2007;44:611-2.  Back to cited text no. 5
    
6.Kumar R, Bawa M, Raghawan M. Ingested metallic screw causing appendicitis in an infant. Indian J Pediatr 2010;77:337.  Back to cited text no. 6
    
7.Larsen AR, Blanton RH. Appendicitis due to bird shot ingestion- a case study. Am Surg 2000;66:589-91.  Back to cited text no. 7
    
8.Kucukaydin M, Icer M, Okur H. Hazelnut appendicitis. Pediatr Surg Intl 1992;7:223-4.  Back to cited text no. 8
    
9.Miller GG, Fraser GC, Jevon G. Pilonidal appendicitis or 'the hair of the dog': an unusual case of foreign body perforation of the appendix. J Pediatr Surg 1996;31:703.  Back to cited text no. 9
    
10.Moorjani V, Wong C, Lam A. Ingested foreign body mimicking appendicolith in a child. Br J Radiol 2006;79:173-4.  Back to cited text no. 10
    
11.Klingler PI, Seelig MH, De Vault KR, Wetscher GJ, Floch NR, Branton SA, et al. Ingested foreign bodies within the appendix: A 100-year review of the literature. Dig Dis 1998;16:308-14.  Back to cited text no. 11
    


    Figures

  [Figure 1]


This article has been cited by
1 Ingested foreign body lodged in the appendix
Yagnik, V.D.
Journal of Indian Association of Pediatric Surgeons. 2011; 16(4): 174
[Pubmed]



 

Top
Print this article  Email this article

    

 
  Search
 
  
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Article in PDF (335 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    Abstract
    Introduction
    Case Report
    Discussion
    References
    Article Figures

 Article Access Statistics
    Viewed1728    
    Printed207    
    Emailed0    
    PDF Downloaded133    
    Comments [Add]    
    Cited by others 1    

Recommend this journal


Contact us | Sitemap | Advertise | What's New | Copyright and Disclaimer 

  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05