Document Detail

Traumatic appendicitis in minor blunt abdominal injury.
MedLine Citation:
PMID:  22672177     Owner:  NLM     Status:  In-Data-Review    
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.
Konstantinos A Paschos; Konstantinos Boulas; Apostolos Liapis; Eleftheria Georgiou; Xenos Vrakas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine Australasia : EMA     Volume:  24     ISSN:  1742-6723     ISO Abbreviation:  Emerg Med Australas     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101199824     Medline TA:  Emerg Med Australas     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  343-6     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
Second Department of General Surgery, General Hospital of Drama, Drama, Greece.
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