Medical Must-See: CT scan throws doctors a bone in mysterious appendicitis case

Foreign body ingestion accounts for just 0.0005% of acute appendicitis cases, research suggests.
Resected appendix contains a bone fragment within the lumen.

A nine-year-old boy’s abdominal pain and fever became a bone of contention in this acute appendicitis case published in Radiology Case Reports.

The child had experienced continuous pain in the right iliac fossa for two days before presenting to an ED in Hanoi, Vietnam, with “intensified” colicky pain, fever (37.9°C) and chills, his doctors wrote.

However, the boy showed no signs of nausea, vomiting or anorexia. 

On examination, the doctors noted diffuse abdominal tenderness, mostly localised to the right iliac fossa, as well as positive guarding and rebound tenderness.