From the James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee Appendicitis due to foreign bodies is rare.
Foreign bodies leading to appendicitis or perforation are usually sharp, pointed objects.
Lead shot can become lodged in the appendix. Few prior cases have shown a causal relationship between the presence of pellets in the appendix and acute appendicitis. The patient's history was significant for consumption of pheasant meat 4 days before onset of symptoms. The pheasant had been shot with a shotgun. X-ray of the child's abdomenrevealed a metallic foreign body in the right lower quadrant.