Torsion of vermiform appendix: case report and review of the literature
| Autor: | Masahito Sato, Yoshiki Morotomi, Kenichi Saga, Atsushi Higashio, Kosuke Endo, Yoshiaki Yuba |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Torsion
medicine.medical_specialty Abdominal pain Vermiform appendix lcsh:Surgery Case Report 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine 030212 general & internal medicine Vermiform business.industry Torsion (gastropod) lcsh:RD1-811 medicine.disease Appendicitis Appendix digestive system diseases Surgery medicine.anatomical_structure surgical procedures operative Vomiting Differential diagnosis medicine.symptom business Rare disease |
| Zdroj: | Surgical Case Reports, Vol 6, Iss 1, Pp 1-5 (2020) Surgical Case Reports |
| ISSN: | 2198-7793 |
| Popis: | Background Torsion of the vermiform appendix is a rare disease with symptoms very similar to those of acute appendicitis. We herein report a case of torsion of the vermiform appendix diagnosed by intraoperative findings. Case presentation A 4-year-old boy presented to our hospital because of abdominal pain and vomiting. Laboratory data revealed a C-reactive protein level of 0.08 mg/dL and white blood cell count of 19,300/μL (neutrophils, 88.9%). Abdominal ultrasound showed a target sign-like finding in the ileocecal region. A computed tomography scan showed swelling of the appendix. We performed an emergency operation under suspicion of acute appendicitis. Laparoscopic examination showed that the appendix had twisted 720° in the clockwise direction. Appendectomy was performed, and the postoperative course was uneventful. Conclusions Although torsion of the vermiform appendix is a very rare disease and difficult to differentiate from appendicitis, an inappropriate treatment plan could lead to necrosis and perforation of the appendix. It is important to consider this disease as a differential diagnosis in patients with right lower abdominal pain. |
| Databáze: | OpenAIRE |
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