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February 1964

Appendicitis in an Infant Due to an Ingested Foreign BodyReview of Appendicitis in a Small Hospital

Arch Surg. 1964;88(2):209-212. doi:10.1001/archsurg.1964.01310200047011

Ingested foreign bodies continue to produce a variety of problems. One of the rare problems that an ingested foreign body causes is acute appendicitis with perforation.

The early writings about appendicitis centered almost exclusively around foreign bodies in the appendix. In 1735 Claudius Amyand performed the first successful appendectomy that has been recorded.3 In this initial report, the etiology of the perforation of the appendix was thought to be the pin that was encrusted with stone within the appendix. In 1921, Mahoney6 reviewed 160 years of the literature and found only 40 cases where a pin was present in the appendix. Collins4 reported a pathological study of 50,000 appendices, of which 90% were surgically removed. He found 638 unusual foreign bodies in the appendix, including 51 instances when it was a straight pin. Martin2 reviewed 1,987 surgically removed appendices and found only one case with perforation

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