Acute torsion and ischemia of the appendix in a young child
Torsion of the vermiform appendix is a rare diagnosis; its clinical and radiographic presentation can mimic that of acute appendicitis. We report the case of a two-year-old boy presenting with a one day history of lower abdominal pain and serial ultrasound examinations suspicious for atypical acute...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-04-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576618300368 |
| _version_ | 1828465340464496640 |
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| author | Dhruvin H. Hirpara Georges Azzie |
| author_facet | Dhruvin H. Hirpara Georges Azzie |
| author_sort | Dhruvin H. Hirpara |
| collection | DOAJ |
| description | Torsion of the vermiform appendix is a rare diagnosis; its clinical and radiographic presentation can mimic that of acute appendicitis. We report the case of a two-year-old boy presenting with a one day history of lower abdominal pain and serial ultrasound examinations suspicious for atypical acute appendicitis. Operative findings revealed a necrotic and engorged appendix with a 720° clockwise torsion at its base. Final pathology was consistent with ischemic necrosis in the setting of lymphoid hyperplasia. A brief update on the current body of literature regarding pediatric torsion of the vermiform appendix is provided. Keywords: Appendicitis, Volvulus, Torsion |
| first_indexed | 2024-12-11T03:31:01Z |
| format | Article |
| id | doaj.art-fc6b3082e3a44996a01d1f37f9ad0ec5 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-11T03:31:01Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-fc6b3082e3a44996a01d1f37f9ad0ec52022-12-22T01:22:23ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-04-01317779Acute torsion and ischemia of the appendix in a young childDhruvin H. Hirpara0Georges Azzie1Department of Surgery, University of Toronto, 149 College St., Toronto, Ontario, M5T 1P5, CanadaDivision of General and Thoracic Surgery, The Hospital for Sick Children, 555 University Ave., Toronto, Ontario, M5G 1X8, Canada; Corresponding author.Torsion of the vermiform appendix is a rare diagnosis; its clinical and radiographic presentation can mimic that of acute appendicitis. We report the case of a two-year-old boy presenting with a one day history of lower abdominal pain and serial ultrasound examinations suspicious for atypical acute appendicitis. Operative findings revealed a necrotic and engorged appendix with a 720° clockwise torsion at its base. Final pathology was consistent with ischemic necrosis in the setting of lymphoid hyperplasia. A brief update on the current body of literature regarding pediatric torsion of the vermiform appendix is provided. Keywords: Appendicitis, Volvulus, Torsionhttp://www.sciencedirect.com/science/article/pii/S2213576618300368 |
| spellingShingle | Dhruvin H. Hirpara Georges Azzie Acute torsion and ischemia of the appendix in a young child Journal of Pediatric Surgery Case Reports |
| title | Acute torsion and ischemia of the appendix in a young child |
| title_full | Acute torsion and ischemia of the appendix in a young child |
| title_fullStr | Acute torsion and ischemia of the appendix in a young child |
| title_full_unstemmed | Acute torsion and ischemia of the appendix in a young child |
| title_short | Acute torsion and ischemia of the appendix in a young child |
| title_sort | acute torsion and ischemia of the appendix in a young child |
| url | http://www.sciencedirect.com/science/article/pii/S2213576618300368 |
| work_keys_str_mv | AT dhruvinhhirpara acutetorsionandischemiaoftheappendixinayoungchild AT georgesazzie acutetorsionandischemiaoftheappendixinayoungchild |