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A 42-year-old man presented to our emergency room with epigastric pain. He had undergone a barium examination 6 weeks previously for gastric cancer screening. He was apyrexial. Physical examination revealed slight tenderness in the epigastric region and McBurney's point. However, there were no signs of peritoneal irritation such as percussion tenderness. A plain radiographic study of the abdomen revealed high-absorption areas in the pelvis (Fig. 1A). Abdominal computed tomography revealed metal artifact-like findings in the appendix (Fig. 1B and Fig. 1C).
Fig. 1(A): X-ray of the abdomen showing high-absorption areas in the pelvis (arrows). (B and C): Abdominal computed tomography showing metal artifact-like findings in the appendix (arrows).
Fig. 1(A): X-ray of the abdomen showing high-absorption areas in the pelvis (arrows). (B and C): Abdominal computed tomography showing metal artifact-like findings in the appendix (arrows).
Barium appendicitis was suspected, and a laparoscopic appendectomy was performed. Surgery revealed a swollen appendix and solidified barium in the appendix.
Barium is usually excreted naturally from the body after barium examination [
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