Down the rabbit hole-considerations for ingested foreign bodies

Jerry Brown, Molly Kidder, Abigail Fabbrini, Jonathan deVries, Jason Robertson, Nicole Chandler, Michael Wilsey

Research output: Contribution to journalArticlepeer-review


We report the case of a seven-year-old boy with an ingested foreign body, which was retained within the appendix for a known duration of ten months, ultimately requiring appendectomy. The ingested foreign body was incidentally discovered by abdominal x-ray at an emergency room visit for constipation. Despite four bowel cleanouts, subsequent x-rays showed persistence of the foreign body in the right lower quadrant. While the patient did not have signs or symptoms of acute appendicitis, laparoscopic appendectomy was performed due to the risk of this foreign body causing appendicitis in the future. A small metallic object was found within the appendix upon removal. This case highlights the unique challenge presented by foreign body ingestions in non-verbal or developmentally challenged children and the importance of further diagnostic workup when concerns arise for potential retained foreign bodies.

Original languageEnglish (US)
Pages (from-to)619-623
Number of pages5
JournalPediatric Gastroenterology, Hepatology and Nutrition
Issue number6
StatePublished - 2019


  • Appendectomy
  • Appendicitis
  • Appendix
  • Autism spectrum disorder
  • Endoscopy
  • Foreign bodies
  • Gastroenterology
  • Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Hepatology
  • Gastroenterology


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