May Ingestion of Leachate from Decomposed Corpses Cause Appendicitis A Case ReportReport as inadecuate

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Case Reports in MedicineVolume 2011 2011, Article ID 467137, 3 pages

Case Report

Hospital da Policia Militar, 04021-001 São Paulo, SP, Brazil

Universidade Federal de São Paulo, 04021-001 São Paulo, SP, Brazil

Universidade de Santo Amaro-UNISA, 2141-8500 São Paulo, SP, Brazil

Received 27 June 2010; Revised 11 November 2010; Accepted 20 January 2011

Academic Editor: Jeannette Guarner

Copyright © 2011 Maurício Domingues-Ferreira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The general consensus is that appendicitis is basically provoked by fecaliths or lymphoid hyperplasic obstruction. Several studies based on histological diagnosis have not confirmed this hypothesis. On the contrary, obstruction has been proved in only a minority of cases. Diverse infections by parasites, bacteria, fungus, and noninfective agents have been associated with appendicitis in the medical literature. We describe a firefighter, who ingested a small quantity of leachate from decomposing corpses while working and developed enteritis a few hours later, which lasted several days and evolved to appendicitis. This case raises the possibility that the high quantity of bacteria concentration present in the leachate could have provoked enteritis and the subsequent appendicitis due to a direct effect of the bacteria on the appendix.

Author: Maurício Domingues-Ferreira, Pedro Saddi-Rosa, and André Luis dos Santos



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