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John R. Earl, M.D.
JAMA. 1940;114(19):1864. doi:10.1001/jama.1940.62810190002007a.
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There are a number of reports of BB shot in the appendix, particularly in the English literature. The finding of one or two shot in the intestinal tract is quite common during the hunting season, but large collections of shot in the appendix are infrequently seen. The following case is reported to illustrate the value of fluoroscopy in addition to x-ray films for the diagnosis of this condition:

E. O., a man aged 32, was admitted to the hospital because of a severe acute back strain. X-ray examination of the lumbosacral area revealed as an incidental condition in. the right lower quadrant a shadow of metallic density which was irregular in outline. The suspected diagnosis of BB shot in the appendix was established by the roentgenologist when he was able to separate the shot by pressure over the appendix during fluoroscopic examination, as shown in figure 2. The patient stated


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