title: Perforated appendicitis caused by foreign body ingestion.
abstract: Most ingested foreign bodies pass through the gastrointestinal tract without any incident. However, foreign bodies lodged in the appendix can cause an inflammatory reaction with or without perforation. Here, we present a case of a 54-year-old woman with perforated appendicitis who consumed wild game containing a shot pellet. Five months before admission, she had eaten the meat of a pheasant that had been shot with a shotgun. Abdominal computed tomography confirmed the diagnosis of perforated appendicitis with abscess due to a foreign body. Subsequently, a laparoscopic appendectomy was performed. Follow-up radiographs obtained after the surgery did not identify the foreign body. Histolopathologic examination confirmed appendiceal perforation with focal inflammation secondary to a foreign body.
authors.affiliation: Department of Surgery, Dongsan Medical Center, Keimyung University, Daegu, Republic of Korea. sgbeak@dsmc.or.kr
authors.forename: Seong Kyu
authors.initials: SK
authors.lastname: Baek
authors.forename: Ok Suk
authors.initials: OS
authors.lastname: Bae
authors.forename: Ilseon
authors.initials: I
authors.lastname: Hwang
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D001064:Appendicitis / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D005506:Food Contamination; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008670:Metals; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D008670:Metals