Spitale L S, D'Olivo M A
Cátedra de Patología, Sanatorio Caroya, Córdoba, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 1989;47(1-2):23-5.
A case is presented of caecal appendix with birdshots, in a 38 years-old male patient, with a clinical picture of biliary pathology. An elongated and "heavy" caecal appendix was palpated during cholecystectomy and removed. The pathological study showed the presence of 99 ammunitions or lead birdshots in the appendicular lumen, with a diameter of 1-5 mm, without histologic evidence of active appendicitis. The patient was fond of hunting wild animals and is used to eat them pickled. Pertinent literature is revised and works are commented in relation to the incidence of different foreign bodies in the appendix lumen, clinical picture and complications.
本文报告一例38岁男性患者，患有盲肠阑尾内有鸟枪子弹的病例，临床表现为胆道病变。在胆囊切除术中触诊到一个细长且“沉重”的盲肠阑尾并将其切除。病理研究显示阑尾腔内有99颗弹药或铅制鸟枪子弹，直径为1 - 5毫米，无急性阑尾炎的组织学证据。该患者喜爱捕猎野生动物并习惯食用腌制的野生动物。本文对相关文献进行了综述，并对阑尾腔内不同异物的发生率、临床表现及并发症的研究进行了评论。
