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Case Reports
. 2003 Apr-Jun;7(2):181-2.

Removal of retained lead shot through laparoscopic appendectomy

P S Sian  1 , D M Lloyd
Affiliations
Case Reports

Removal of retained lead shot through laparoscopic appendectomy

P S Sian et al. JSLS. 2003 Apr-Jun.

Abstract

We describe a patient presenting with lead shot in his appendix. A plain radiograph of his lumbar spine was performed for back pain, and an incidental finding of lead shot retained within the appendix was seen. Lead shot in the appendix is associated with appendicitis, and 2 cases have been reported of lead intoxication. We suggest that an elective laparoscopic appendectomy should be offered to patients as a possible management option.

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Figures

Figure 1.
Figure 1.
Plain abdominal radiograph showing opacities in the appendix.
Figure 2.
Figure 2.
Pathological specimen of the opened appendix following laparoscopic removal, demonstrating multiple lead shot.
See this image and copyright information in PMC

References

    1. Balch CM, Silver D. Foreign bodies in the appendix. Report of eight cases and review of the literature. Arch Surg. 1971; 102( 1): 14–20 - PubMed
    1. Klingler PJ, Seelig MH, DeVault KR, et al. Ingested foreign bodies within the appendix: A100-year review of the literature. Dig Dis. 1998; 16( 5): 308–314 - PubMed
    1. Hillman FE. A rare case of chronic lead poisoning: polyneuropathy traced to lead shot in the appendix. Ind Med Surg. 1967; 36( 7): 488–492 - PubMed
    1. Lyons JD, Filston HC. Lead intoxication from a pellet entrapped in the appendix of a child: treatment considerations. J Pediatr Surg. 1994; 29( 12): 1618–1620 - PubMed
    1. Henle KP, Beller S, Rechner J, Zerz A, Szinicz G, Klinger A. Laparoscopic versus conventional appendectomy: a prospective randomised study. Am J Surg. 1999; 177( 6): 525 - PubMed

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