Khazindar Abdullah R, Thabit Rawan A, Badeeb Arwa
Department of Radiology, University of Jeddah - College of Medicine, Jeddah, SAU.
Radiology, King Abdulaziz University, Jeddah, SAU.
Cureus. 2021 Jul 26;13(7):e16638. doi: 10.7759/cureus.16638. eCollection 2021 Jul.
A 19-year-old male patient presented to the emergency department (ED) with pain in the right iliac fossa. Computed tomography (CT) scan of the abdomen and pelvis revealed signs of acute appendicitis, as a result of a metallic foreign body beyond the appendiceal orifice. Upon further questioning, the patient gave a history of ball bearing (BB) gun bullet ingestion in the past. Although rare, foreign body appendicitis occurs. A radiologist should be mindful to reporting such cases especially bizarre foreign bodies for example bullets as it may warrant psychiatric consultation or alter surgical management.
一名19岁男性患者因右下腹疼痛就诊于急诊科。腹部和骨盆的计算机断层扫描（CT）显示为急性阑尾炎迹象，原因是阑尾开口处有金属异物。进一步询问后，患者称过去有吞食滚珠枪子弹的病史。尽管罕见，但异物性阑尾炎确实会发生。放射科医生应注意报告此类病例，尤其是像子弹这样奇特的异物，因为这可能需要精神科会诊或改变手术管理方式。
