Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report

Document Type : Case Report(s)

Authors

Sam Moslemi 1
Hamid Reza Forootan 2
Maryam Tahamtan 3

1 Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Pediatric Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract
A 13-year-old boy with a history of bicycle handlebar injury to the left side of his abdomen was brought to the Emergency Department of our center. On admission, his vital signs were stable and abdominal examination revealed ecchymosis and tenderness of the injured areas. Mild to moderate free fluid and two small foci of free air in the anterior aspect of the abdomen, in favor of pneumoperitoneum, were detected in abdominopelvic sonography and CT-scan, respectively. In less than 6 hours, the patient developed generalized peritonitis. Therefore, exploratory laparotomy was promptly performed, which revealed appendiceal transection and rupture of the small bowel mesentery. Appendectomy and small bowel mesoplasty were done, with pathological diagnosis of acute appendicitis and periappendicitis. After surgery, the patient had a non-complicated hospital course. This rare case highlights the significance of the early management of appendiceal traumatic injuries in order to prevent further complicated events, especially in patients who are much more exposed to this risk due to their traumatic background.

Keywords

Abdominal injury
Appendiceal
Transection
Acute appendicitis
Iranian Journal of Medical Sciences
Volume 38, Issue 4 - Serial Number 4
4
December 2013
Pages 343-346

  • Received 15 September 2013
  • Revised 23 August 2020
  • Accepted 24 December 2018

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