• Emerg Med Australas · Jun 2012

    Case Reports

    Traumatic appendicitis in minor blunt abdominal injury.

    • Konstantinos A Paschos, Konstantinos Boulas, Apostolos Liapis, Eleftheria Georgiou, and Xenos Vrakas.
    • Second Department of General Surgery, General Hospital of Drama, Drama, Greece. kostaspaschos@yahoo.gr
    • Emerg Med Australas. 2012 Jun 1;24(3):343-6.

    AbstractTrauma has been reported as a cause of appendicitis on several cases in the literature. The present study reports the relationship between blunt abdominal trauma (BAT) of injury severity score less than 4 and appendicitis. A 17-year-old girl developed appendicitis after a minor BAT. An ecchymosis at the right lower quadrant misled the diagnosis, which was made 1 day later. Laparotomy revealed an inflamed appendix, a few enlarged mesenteric lymph nodes, contusion, as well as punctuated bleeding sites of the caecum. Moreover, based on a brief literature review, the different pathophysiological mechanisms and the difficulties of diagnosis of this entity are discussed. It is suggested that appendicitis should be considered as a possibility in the setting of right lower quadrant pain following minor BAT, when there is clinical suspicion of an inflammatory process within the right iliac fossa.© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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