{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T14:14:19Z","timestamp":1774448059448,"version":"3.50.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2018,3,16]],"date-time":"2018-03-16T00:00:00Z","timestamp":1521158400000},"content-version":"vor","delay-in-days":74,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Foreign body ingestion is a common clinical presentation with less than 1% of the cases requiring surgical intervention. In this report, we present a rare case of razor blades lodged in the appendix as a result of intentional ingestion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 25 year old male prisoner presented to our hospital with persistent right iliac fossa pain after razor blade ingestion. After 5 days of conservative management, there was no sign of transition on serial X-Rays. Laparoscopy with intraoperative image intensification confirmed the presence of the razor blades in the appendix and appendicectomy was subsequently performed without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Most ingested objected with diameter less than 2.5 cm and length less than 6 cm can pass through the gastrointestinal tract spontaneously in less than one week. The entry of foreign objects into the appendix is thought to be due to relative low motility of the caecum, the dependent position of the appendix and the size of the appendiceal orifice. Radiographic localisation to the appendiceal lumen was complicated by metallic artefact, but was consistent with failure to transit. Appendicectomy was felt to be the safest mode of retrieval.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Ingested foreign body lodged in the appendix is a rare event. Once the exact location is confirmed, a simple laparoscopic appendicectomy can be performed to facilitate the removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.03.018","type":"journal-article","created":{"date-parts":[[2018,3,16]],"date-time":"2018-03-16T21:17:29Z","timestamp":1521235049000},"page":"29-32","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Ingested razor blades within the appendix"],"prefix":"10.1097","volume":"45","author":[{"given":"Jason","family":"Cui","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trent","family":"Cross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lockwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-7-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE Statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R2-7-20260114","doi-asserted-by":"crossref","first-page":"162","DOI":"10.4253\/wjge.v7.i3.162","article-title":"Intentional ingestions of foreign objects among prisoners: a review","volume":"7","author":"Evans","year":"2015","journal-title":"World J. Gastrointest Endosc"},{"key":"R3-7-20260114","first-page":"869","article-title":"Swallowed foreign bodies in adults","volume":"109","author":"Ambe","year":"2012","journal-title":"Dtsch Arztebl Int"},{"key":"R4-7-20260114","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1148\/rg.233025137","article-title":"Foreign bodies","volume":"23","author":"Hunter","year":"2003","journal-title":"Radiographics"},{"key":"R5-7-20260114","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1159\/000016880","article-title":"Ingested foreign bodies within the appendix: a 100-year review of the literature","volume":"16","author":"Klingler","year":"1998","journal-title":"Dig. Dis"},{"key":"R6-7-20260114","first-page":"277","article-title":"The position of the vermiform appendix as ascertained by an analysis of 10,000 cases","volume":"67","author":"Wakeley","year":"1933","journal-title":"J. Anat"},{"key":"R7-7-20260114","doi-asserted-by":"crossref","first-page":"570","DOI":"10.5505\/tjtes.2013.60329","article-title":"A rare cause of acute appendicitis: an ingested foreign body","volume":"19","author":"Hazer","year":"2013","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"R8-7-20260114","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1001\/archsurg.1971.01350010016004","article-title":"Foreign bodies in the appendix: report of eight cases and review of the literature","volume":"102","author":"Balch","year":"1971","journal-title":"Arch. Surg"},{"key":"R9-7-20260114","doi-asserted-by":"crossref","first-page":"W154","DOI":"10.2214\/AJR.08.2148","article-title":"Foreign body appendicitis","volume":"193","author":"Song","year":"2009","journal-title":"AJR Am. J. Roentgenol"},{"key":"R10-7-20260114","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/j.1440-1673.1988.tb02755.x","article-title":"Airgun pellet appendicitis","volume":"32","author":"Price","year":"1988","journal-title":"Australas. Radiol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218300981?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218300981?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201845000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:06:56Z","timestamp":1768396016000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201845000-00007"}},"subtitle":["A rare case report"],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2018.03.018","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}