An unusual cause of acute abdomen: torsion of colonic duplication over a duplicated appendix

Oğuzkurt, Pelin; Oğuzkurt, Levent; Kayaselçuk, Fazi̇let; Öz, Sedat

doi:10.1007/s00383-004-1283-7

Cited by 12 publications

(9 citation statements)

References 8 publications

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“…They are most often located on the mesenteric side of the native gastrointestinal tract structure [8-10]. The small intestine is the most frequent site involved (60%), especially the ileum, followed by mediastinal duplications (18%), whereas stomach (7%), duodenum (6%), colon (15%), rectum (4%), and neck (1%) are relatively rare [3-5,8-12]. In our case the spherical mass was found in the antimesenteric side of the colon, which represents an uncommon location.…”

Section: Discussionmentioning

confidence: 99%

“…An elective surgical procedure should not be delayed once a definitive diagnosis has been made. Serious complications such as perforation or torsion, although rare, are difficult to be accurately diagnosed preoperatively and require urgent surgical intervention [2,12,14]. The recommended surgical procedure is excision of the duplication, and recent studies show that it is possible to resect them without compromising the adjacent bowel vascularization.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Abscess formation of a spherical-shape duplication in the splenic flexure of the colon: case report and review of the literature

et al. 2009

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Gastrointestinal tract duplications are rare congenital malformations that may occur anywhere in the alimentary tract from the mouth to the anus, and vary greatly in presentation, size, location, and especially in symptoms. We present a case of an infected spherical colonic duplication, in a 20-day-old baby, located at the splenic flexure of the colon. The prominent symptom was acute abdomen, accompanied by bilious vomiting, intestinal obstruction, and high fever. We present this case, due to atypical clinical presentation and the inability of the imaging modality to establish the diagnosis preoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Abscess formation of a spherical-shape duplication in the splenic flexure of the colon: case report and review of the literature

et al. 2009

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“…The remaining two pediatric cases had secondary torsion. Our case was caused by a fecalith while the other case involved a duplicated appendix . In all age groups, only two cases of torsion secondary to a fecalith have been described to date.…”

Section: Discussionmentioning

confidence: 73%

Rare case of an abdominal mass presenting as acute abdomen: Torsion of the vermiform appendix

Kilincaslan

Gedik

Bilici

et al. 2013

Pediatrics International

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Torsion of the vermiform appendix is a rarely observed acute abdominal emergency. The clinical manifestations are similar to acute appendicitis. It should be included in the differential diagnosis if a patient presents with intermittent abdominal pain and an acute abdominal emergency. Here, we describe a 4-year-old male patient with a mass located in the right lower abdominal quadrant, whose clinical findings were consistent with an acute abdomen. The gangrenous appendix was found in the pelvic cavity and its stump was twisted clockwise. A 1.5-cm fecalith was detected in the appendix lumen and appendectomy was performed.

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“…3,4,11 Still, its etiology is uncertain. Benign tumor pathology such as mucocele, 13 malignant pathology such as cistadenoma, 11 or after intestinal invagination 10 or intestinal duplication 14 have been associated to secondary causes.…”

Section: Discussionmentioning

confidence: 99%

Primary Torsion of the Vermiform Appendix and Undescended Cecum Treated by Video-Assisted Transumbilical Appendectomy

Montes-Tapia

Quiroga-Garza²,

Abrego-Moya³

2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Torsion of the vermiform appendix is a rare cause of appendicitis that is clinically indistinguishable from the classical presentation. In this paper, we present the first report in the literature of an appendicular torsion associated with an undescended cecum. A 3-year-old male patient with persistent pain in the right hypochondrium and peritoneal irritation underwent diagnostic laparoscopy, finding necrosis of the vermiform appendix caused by torsion of its base associated with an undescended cecum located in an indurated area of the subhepatic region. A video-assisted transumbilical appendectomy was performed. 839

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An unusual cause of acute abdomen: torsion of colonic duplication over a duplicated appendix

Abstract: A 2-year old boy with torsion of colonic duplication, which had a proximal communication with the cecum via an incomplete duplicated appendix, is presented. The clinical picture and complications of this rare association are discussed.

Cited by 12 publications

References 8 publications

Abscess formation of a spherical-shape duplication in the splenic flexure of the colon: case report and review of the literature

Abscess formation of a spherical-shape duplication in the splenic flexure of the colon: case report and review of the literature

Rare case of an abdominal mass presenting as acute abdomen: Torsion of the vermiform appendix

Primary Torsion of the Vermiform Appendix and Undescended Cecum Treated by Video-Assisted Transumbilical Appendectomy

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