Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report
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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2013-12-01
|
| Series: | Iranian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://ijms.sums.ac.ir/index.php/IJMS/article/view/115 |
| _version_ | 1818291141902073856 |
|---|---|
| author | Sam Moslemi Hamid Reza Forootan Maryam Tahamtan |
| author_facet | Sam Moslemi Hamid Reza Forootan Maryam Tahamtan |
| author_sort | Sam Moslemi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T02:39:21Z |
| format | Article |
| id | doaj.art-82808f5171634343bc3f8e57aec28318 |
| institution | Directory Open Access Journal |
| issn | 0253-0716 1735-3688 |
| language | English |
| last_indexed | 2024-12-13T02:39:21Z |
| publishDate | 2013-12-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Medical Sciences |
| spelling | doaj.art-82808f5171634343bc3f8e57aec283182022-12-22T00:02:19ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882013-12-01384343346Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case ReportSam Moslemi0Hamid Reza Forootan1Maryam Tahamtan2Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Pediatric Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranA 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.http://ijms.sums.ac.ir/index.php/IJMS/article/view/115Abdominal injuryAppendicealTransectionAcute appendicitis |
| spellingShingle | Sam Moslemi Hamid Reza Forootan Maryam Tahamtan Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report Iranian Journal of Medical Sciences Abdominal injury Appendiceal Transection Acute appendicitis |
| title | Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report |
| title_full | Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report |
| title_fullStr | Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report |
| title_full_unstemmed | Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report |
| title_short | Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report |
| title_sort | co incidence of acute appendicitis and appendiceal transection after blunt abdominal trauma a case report |
| topic | Abdominal injury Appendiceal Transection Acute appendicitis |
| url | http://ijms.sums.ac.ir/index.php/IJMS/article/view/115 |
| work_keys_str_mv | AT sammoslemi coincidenceofacuteappendicitisandappendicealtransectionafterbluntabdominaltraumaacasereport AT hamidrezaforootan coincidenceofacuteappendicitisandappendicealtransectionafterbluntabdominaltraumaacasereport AT maryamtahamtan coincidenceofacuteappendicitisandappendicealtransectionafterbluntabdominaltraumaacasereport |