Published: 23 November 2020
Author(s): Jin Ikeda
Section: Internal Medicine Flashcard

A 42-year-old man presented to our emergency room with epigastric pain. He had undergone a barium examination 6 weeks previously for gastric cancer screening. He was apyrexial. Physical examination revealed slight tenderness in the epigastric region and McBurney's point. However, there were no signs of peritoneal irritation such as percussion tenderness. A plain radiographic study of the abdomen revealed high-absorption areas in the pelvis (Fig. 1A). Abdominal computed tomography revealed metal artifact-like findings in the appendix (Fig. 1B and Fig. 1C).


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