Laparoscopic Appendectomy for Torsed Appendix Presenting as an Acute Abdomen in an Infant Female

Perger, Lena; Muensterer, Oliver J.

doi:10.4293/108680811x13176785204634

Cited by 13 publications

(10 citation statements)

References 8 publications

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“…Torsion of the vermiform appendix was first reported by Payne in 1918 [1], and sporadic case reports have since been published. A review of the English-language literature revealed only 22 pediatric cases (including our case), which are summarized in Table 1 [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. The patients' ages ranged from 11 weeks to 18 years (mean, 7.6 years).…”

Section: Discussionmentioning

confidence: 99%

Torsion of vermiform appendix: case report and review of the literature

et al. 2020

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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.

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Section: Discussionmentioning

confidence: 99%

Torsion of vermiform appendix: case report and review of the literature

et al. 2020

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“…Intussusception of the appendix may result from abnormal peristalsis [5] . The causes of appendiceal intussusception in the 11 cases identified in our literature search were as follows: endometriosis (three cases) [7] , [8] , [9] , lymphoma (two cases) [10] , [11] , adenoma (two cases) [12] , [13] , and hyperplasia [14] , mucocele [15] , torsion [16] and pregnancy (one case each) [17] . Appendiceal intussusception is diagnosed via ultrasonography, computed tomography, contrast enema, and colonoscopy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy for appendiceal intussusception assisted by colonoscopy: A case report

Ohira

Ohki

Inoue

et al. 2021

International Journal of Surgery Case Reports

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“…Otros desafíos en el diagnóstico radiológico es sospechar la inflamación apendicular cuando se encuentra dentro del conducto inguinal (Hernia de Amyand) 20 , así como otras complicaciones, como es el caso de la apendicitis en el contexto de una enterocolitis necrotizante 5,6,21 , hernias atascadas bajo las cuales subyace una apendicitis complicada 10 , cuadros que se presentan como torsión testicular u ovárica, en las cuales hay un apéndice inflamado y perforado 22,23 . Hacer el diagnóstico en forma oportuna permite orientar de mejor manera las estrategias quirúrgicas.…”

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Apendicitis aguda perforada con diagnóstico prequirúrgico y hernia inguinal bilateral en recién nacido de pretérmino

Patiño

et al. 2020

Rev Chil Pediatr

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La apendicitis aguda neonatal es una patología de muy baja frecuencia, con escasos reportes en los últimos 30 años. La clínica e imágenes son inespecíficas, diagnosticándose la mayoría de las veces durante el procedimiento quirúrgico.Objetivo: Presentar un caso de apendicitis aguda perforada en paciente prematura, con diagnóstico prequirúrgico y resolución laparoscópica, asociada a aparición posterior de hernia inguinal.Caso Clínico: Recién nacido femenino de 34 semanas que a los 17 días de vida presentó fiebre, irritabilidad y aumento del residuo lácteo. Al examen físico destacaba distensión y sensibilidad del abdomen y tanto la radiografía como ecografía abdominales eran compatibles con apendicitis aguda perforada, por lo cual ingresó a pabellón para laparoscopía. Confirmado el diagnóstico, se realizó apendicectomía. Dos semanas después en consulta ambulatoria, se evidenció y confirmó con ecografía una hernia inguinal bilateral que se corrigió quirúrgicamente.Conclusión: La apendicitis aguda debe considerarse dentro de los diagnósticos diferenciales en neonatos con clínica de abdomen agudo, principalmente en prematuros. En este caso, la ecografía permitió realizar el diagnóstico pre-operatorio. La posible asociación con hernia inguinal, debiera motivar a examinar siempre conductos inguinales durante la evaluación con imágenes y en el procedimiento quirúrgico.

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Laparoscopic Appendectomy for Torsed Appendix Presenting as an Acute Abdomen in an Infant Female

Abstract: These authors conclude that appendiceal torsion should be included in the differential diagnosis of a young child with right lower quadrant pain and no elevated inflammatory markers.

Cited by 13 publications

References 8 publications

Torsion of vermiform appendix: case report and review of the literature

Torsion of vermiform appendix: case report and review of the literature

Laparoscopic appendectomy for appendiceal intussusception assisted by colonoscopy: A case report

Apendicitis aguda perforada con diagnóstico prequirúrgico y hernia inguinal bilateral en recién nacido de pretérmino

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