Konstantinos A Paschos, MD, MSc, PhD, Consultant Surgeon; Konstantinos Boulas, MD, Surgical Trainee; Apostolos Liapis, MD, Surgical Trainee; Eleftheria Georgiou, MD, Surgical Trainee; Xenos Vrakas, MD, PhD, Consultant Surgeon, Chairman.
Traumatic appendicitis in minor blunt abdominal injury
Article first published online: 3 JUN 2012
© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 24, Issue 3, pages 343–346, June 2012
How to Cite
Paschos, K. A., Boulas, K., Liapis, A., Georgiou, E. and Vrakas, X. (2012), Traumatic appendicitis in minor blunt abdominal injury. Emergency Medicine Australasia, 24: 343–346. doi: 10.1111/j.1742-6723.2012.01557.x
- Issue published online: 3 JUN 2012
- Article first published online: 3 JUN 2012
- Accepted 30 January 2012
- blunt abdominal trauma;
- intestinal trauma;
- traumatic appendicitis
Trauma has been reported as a cause of appendicitis on several cases in the literature. The present study reports the relationship between blunt abdominal trauma (BAT) of injury severity score less than 4 and appendicitis. A 17-year-old girl developed appendicitis after a minor BAT. An ecchymosis at the right lower quadrant misled the diagnosis, which was made 1 day later. Laparotomy revealed an inflamed appendix, a few enlarged mesenteric lymph nodes, contusion, as well as punctuated bleeding sites of the caecum. Moreover, based on a brief literature review, the different pathophysiological mechanisms and the difficulties of diagnosis of this entity are discussed. It is suggested that appendicitis should be considered as a possibility in the setting of right lower quadrant pain following minor BAT, when there is clinical suspicion of an inflammatory process within the right iliac fossa.