Computer tomography imaging of an unusual cause of appendicitis: a case report
Introduction
Foreign body occlusion of appendices lumen is a quite rare cause of appendicitis due to foreign body (1,2)
Case report
A 63-year-old male presented to our department with a complaint of right lower quadrant pain of 1-day duration. The patient denied diarrhea, vomiting, hematuria and dysuria. Three weeks before, he says to have eaten heavy meal with a game and alcohol. The patient past medical history included, coronary artery disease, hypertension, hypercholesterolemia. Physical examination reveals shiver but no fever, a cardiac rhythm of 98 bpm and right lower quadrant pain tenderness. Laboratory tests showed a slight increase of white blood cell count at 10.6×109/L and C-reactive protein at 22.9 mg/L. The urine analysis was normal. Contrast enhanced computed tomography (CT) of pelvis demonstrated a thickened and inflamed appendix of 17 mm of diameter. The lumen was occluded by a metallic foreign body (Figure 1). The patient underwent laparoscopic appendicectomy. A histopathologic examination revealed acute necrosis appendicitis due to a weapon bullet.
Disclosure: The authors declare no conflict of interest.
References
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