{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:17:28Z","timestamp":1762507048626,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>A 41-year-old man presented to our hospital with lower abdominal pain and a high-grade fever. Physical examination revealed rebound tenderness and guarding in the lower abdomen. Abdominal X-ray examination showed a radiopaque object in the right lower quadrant of the abdomen. Abdominal computed tomography (CT) demonstrated that the object had a strong artifact with over 10,000 Hounsfield units, as well as ascites around the terminal ileum. We diagnosed acute peritonitis with a suspicion of the perforation due to unknown foreign body and performed an emergency laparotomy. Operative findings showed a contained perforation of a phlegmonous appendicitis, and appendectomy was performed. The resected specimen demonstrated that the appendix contained a fecalith, and histopathological examination showed the crystal structure of barium sulfate in the lumen of the appendix. Unfortunately, we did not obtain the history of screening for gastric cancer using a barium examination one month prior to our appendectomy. Our experience demonstrates the importance of establishing a history of barium examinations of the gastrointestinal tract in a patient with a radiopaque object in the right lower quadrant of the abdomen for early diagnosis of barium appendicitis. Additionally, early diagnosis of barium appendicitis may affect the selection of surgical procedures.<\/jats:p>","DOI":"10.1155\/2017\/6316175","type":"journal-article","created":{"date-parts":[[2017,4,9]],"date-time":"2017-04-09T17:01:46Z","timestamp":1491757306000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Delayed Awareness of the History of Barium Examination: Perforated Barium Appendicitis"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3916-9351","authenticated-orcid":true,"given":"Susumu","family":"Saigusa","sequence":"first","affiliation":[{"name":"Department of Surgery, Iga City General Hospital, 831 Shijuku-cho, Iga, Mie 518-0823, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Ohi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514-8507, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Oki","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514-8507, Japan"},{"name":"Department of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514-8507, Japan"},{"name":"Department of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minako","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514-8507, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514-8507, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikao","family":"Miki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Iga City General Hospital, 831 Shijuku-cho, Iga, Mie 518-0823, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-198708000-00018"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2008.05.021"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2008.05492.x"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.04.017"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s12328-014-0457-7"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.10.089"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.07.017"},{"issue":"4","key":"8","first-page":"462","volume":"148","year":"1988","journal-title":"Western Journal of Medicine"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.137.3.529"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1186\/1471-230x-10-129"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0563-7"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0342-z"}],"container-title":["Case Reports in Gastrointestinal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2017\/6316175.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2017\/6316175.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2017\/6316175.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,4,9]],"date-time":"2017-04-09T17:01:57Z","timestamp":1491757317000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crigm\/2017\/6316175\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":12,"alternative-id":["6316175","6316175"],"URL":"https:\/\/doi.org\/10.1155\/2017\/6316175","relation":{},"ISSN":["2090-6528","2090-6536"],"issn-type":[{"type":"print","value":"2090-6528"},{"type":"electronic","value":"2090-6536"}],"subject":[],"published":{"date-parts":[[2017]]}}}