Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis
We describe traumatic appendicitis in a 7-year-old boy who presented after sustaining blunt abdominal trauma to his right lower abdomen secondary to bicycle handlebar injury. With diffuse abdominal pain following injury, he was admitted for observation. Computed axial tomography (CT) obtained at an...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-04-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576616300082 |
| _version_ | 1818607208786558976 |
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| author | Amanda Jensen Reto Baertschiger Jodi Hackworth Fredrick Rescorla |
| author_facet | Amanda Jensen Reto Baertschiger Jodi Hackworth Fredrick Rescorla |
| author_sort | Amanda Jensen |
| collection | DOAJ |
| description | We describe traumatic appendicitis in a 7-year-old boy who presented after sustaining blunt abdominal trauma to his right lower abdomen secondary to bicycle handlebar injury. With diffuse abdominal pain following injury, he was admitted for observation. Computed axial tomography (CT) obtained at an outside hospital demonstrated moderate stranding of the abdomen in the right lower quadrant. The CT was non-contrasted and therefore significant appendiceal distention could not be confirmed. However, there was a calcified structure in the right pelvis with trace amount of free fluid. Patient was observed with conservative management and over the course of 15 h his abdominal pain continued to intensify. With his worsening symptoms, we elected to take him for diagnostic laparoscopy. In the operating room we found an inflamed traumatically amputated appendix with the mesoappendix intact. We therefore proceeded with laparoscopic appendectomy. Pathology demonstrated acute appendicitis with fecalith. It was unclear as to whether the patient's appendicitis and perforation were secondary to fecalith obstruction, his blunt abdominal trauma or if they concurrently caused his appendicitis. Acute appendicitis is a common acute surgical condition in the pediatric population and continues to be a rare and unique cause of operative intervention in the trauma population. |
| first_indexed | 2024-12-16T14:23:06Z |
| format | Article |
| id | doaj.art-18ed01792c1b4f5e90704c165c415e68 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-16T14:23:06Z |
| publishDate | 2016-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-18ed01792c1b4f5e90704c165c415e682022-12-21T22:28:26ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662016-04-017C131510.1016/j.epsc.2016.02.005Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitisAmanda Jensen0Reto Baertschiger1Jodi Hackworth2Fredrick Rescorla3Division of Pediatric Surgery, Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at IU Health, Indianapolis, IN, USADivision of Pediatric Surgery, Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at IU Health, Indianapolis, IN, USADepartment of Trauma Services, Riley Hospital for Children at IU Health, Indianapolis, IN, USADivision of Pediatric Surgery, Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at IU Health, Indianapolis, IN, USAWe describe traumatic appendicitis in a 7-year-old boy who presented after sustaining blunt abdominal trauma to his right lower abdomen secondary to bicycle handlebar injury. With diffuse abdominal pain following injury, he was admitted for observation. Computed axial tomography (CT) obtained at an outside hospital demonstrated moderate stranding of the abdomen in the right lower quadrant. The CT was non-contrasted and therefore significant appendiceal distention could not be confirmed. However, there was a calcified structure in the right pelvis with trace amount of free fluid. Patient was observed with conservative management and over the course of 15 h his abdominal pain continued to intensify. With his worsening symptoms, we elected to take him for diagnostic laparoscopy. In the operating room we found an inflamed traumatically amputated appendix with the mesoappendix intact. We therefore proceeded with laparoscopic appendectomy. Pathology demonstrated acute appendicitis with fecalith. It was unclear as to whether the patient's appendicitis and perforation were secondary to fecalith obstruction, his blunt abdominal trauma or if they concurrently caused his appendicitis. Acute appendicitis is a common acute surgical condition in the pediatric population and continues to be a rare and unique cause of operative intervention in the trauma population.http://www.sciencedirect.com/science/article/pii/S2213576616300082Traumatic appendicitisBlunt abdominal traumaHandlebar injuryAppendicitisIntestinal trauma |
| spellingShingle | Amanda Jensen Reto Baertschiger Jodi Hackworth Fredrick Rescorla Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis Journal of Pediatric Surgery Case Reports Traumatic appendicitis Blunt abdominal trauma Handlebar injury Appendicitis Intestinal trauma |
| title | Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis |
| title_full | Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis |
| title_fullStr | Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis |
| title_full_unstemmed | Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis |
| title_short | Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis |
| title_sort | blunt abdominal trauma with handlebar injury a rare cause of traumatic amputation of the appendix associated with acute appendicitis |
| topic | Traumatic appendicitis Blunt abdominal trauma Handlebar injury Appendicitis Intestinal trauma |
| url | http://www.sciencedirect.com/science/article/pii/S2213576616300082 |
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