Traumatic appendicitis: a case report and literature review

Abstract

Appendicitis and trauma may exist together, which causes an interesting debate whether trauma has led to appendicitis. We report a case of appendicitis after an abdominal trauma. Our patient developed acute appendicitis following a stab wound in the right iliac fossa. Surgical exploration confirmed the traumatic origin of appendicitis, appendectomy was performed and our patient made an excellent recovery. In non operative management of abdominal trauma, physical examinations and radiological explorations should be repeated in order to diagnose traumatic appendicitis.

Appendicitis: A Traumatic Etiology

“…Appendicitis following trauma is a rare sequalae. It has been previously reported following blunt abdominal trauma including falls, road traffic accidents, assault, bicycle handle and crush injures [2,3].…”

Acute peritonitis secondary to post-traumatic appendicitis: A case report and literature review

“…In cases of indirect trauma, an increase in intra-abdominal pressure may cause an increase of intra-cecal pressure resulting in rapid appendiceal distension and appendicitis. Direct trauma of the mesoappendix has also been reported[ 4 ]. One patient developed traumatic appendicitis following a perineal trauma[ 5 ].…”

Treatment Modalities and Antimicrobial Stewardship Initiatives in the Management of Intra-Abdominal Infections

“…The incidence of appendicitis increases throughout childhood and peaks at 15–25 years of age; roughly 300,000 appendectomies are performed annually in the United States [ 8 , 9 ]. The primary pathogenic mechanism of acute appendicitis is obstruction of the appendiceal lumen, which can occur secondary to mucus plugging, congregated stool or foreign body [ 8 , 10 , 11 ]. Appendiceal lumen obstruction leads to increased intraluminal pressure and subsequent compression of lymphatic and vascular drainage causing ischemic damage of the mucosa.…”