- Email: [email protected]
Removal of a nail from the appendix
REMOVAL OF A NAIL FROM THE APPENDIX
A 59-year-old man with schizophrenia arrived in the United States as a refugee from Uzbekistan with a history of ‘‘liver cancer.’’ A CT scan revealed no evidence of significant liver lesions. However, a bent nail was incidentally noted in the appendiceal lumen (A). The finding was confirmed by a plain radiograph of the abdomen (B). The patient denied nail ingestion and had no recent abdominal pain or fever. At colonoscopy, the nail was noted to be protruding from the appendiceal orifice (C). It was
VOLUME 59, NO. 4, 2004
grasped with a snare and removed atraumatically from the colon (D). Mark A. Mallory, MD Andrew C. Lee, MD Scott Imahara, MD Venkat Mohan, MD University of Washington School of Medicine Harborview Medical Center Seattle, Washington PII: S0016-5107(03)02866-9
GASTROINTESTINAL ENDOSCOPY
543
A 59-year-old man with schizophrenia arrived in the United States as a refugee from Uzbekistan with a history of ‘‘liver cancer.’’ A CT scan revealed no evidence of significant liver lesions. However, a bent nail was incidentally noted in the appendiceal lumen (A). The finding was confirmed by a plain radiograph of the abdomen (B). The patient denied nail ingestion and had no recent abdominal pain or fever. At colonoscopy, the nail was noted to be protruding from the appendiceal orifice (C). It was
VOLUME 59, NO. 4, 2004
grasped with a snare and removed atraumatically from the colon (D). Mark A. Mallory, MD Andrew C. Lee, MD Scott Imahara, MD Venkat Mohan, MD University of Washington School of Medicine Harborview Medical Center Seattle, Washington PII: S0016-5107(03)02866-9
GASTROINTESTINAL ENDOSCOPY
543