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Acute appendicitis resulting from intraluminal shotgun pellets
Author(s) -
Losanoff Julian E.,
Jones James W.,
Richman Bruce W.
Publication year - 2002
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1046/j.1445-2197.2002.2327b.x
Subject(s) - columbia university , medicine , citation , library science , south carolina , emergency department , media studies , sociology , political science , public administration , psychiatry , computer science
I read with interest the article by Leicester and Trantalis published in the Journal.1 They have reported treatment of an osteoid osteoma with oral Naproxen for 4 years and 5 months. While the authors report no complications from the long-term use of a non-steroidal anti-inflammatory drug, severe gastrointestinal complications have been reported. There is an alternative to surgical en bloc resection of the lesion as described by the authors and this is radiofrequency ablation. This involves percutaneous insertion of a small needle under computed tomography guided control. The lesion demonstrated in the plain radiographs is well situated away from the physis and so thermal damage to the physis is unlikely as a result of this procedure. My own experience of this procedure has resulted in an 83% success rate, with complete resolution of all symptoms usually within 72 h of the procedure. I would commend the authors to consider this as an alternative to long-term non-steroidal anti-inflammatory drugs or surgery.