Volvulus of the Appendix

Bhojwani, Deesha R; Gourgiotis, Stavros; Simillis, Constantinos

doi:10.1053/j.gastro.2021.08.038

Cited by 1 publication

(1 citation statement)

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“…Therefore, we should include appendicular volvulus as a differential diagnosis of right lower abdominal pain miming acute appendicitis (Dubhashi and Khadav, 2016). Although this condition is scarce, early recognition is substantial to prevent morbidity as the consequences of late presentation and, thus, delay in the management could worsen the ischemia, with subsequent gangrene or perforation of the appendix (Bhojwani et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Twists and turns: A rare case of appendiceal torsion unraveled

A Alfarsi,

Khaled S Zaky,

Sayfuldeen Qari

et al. 2024

Med Sci

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Vermiform appendix torsion is a rare acute abdominal emergency in the pediatric population, with possibly 25 case reports appearing in English-language publications since 1918, when it was initially described, surgeons mostly accidentally found it during surgery. It can be primary or secondary. Clinical manifestations mimic acute appendicitis. This vermiform appendix torsion is a case report of a 9-year-old girl who had her appendix twisted on itself 360 degrees in an anticlockwise direction. A late diagnosis can result in the appendix being gangrenous. We report a case of a 9-year-old girl who presented to the emergency department with abdominal pain, non-bilious vomiting, constipation, and fever. Laboratory data revealed a white cell count of 19,000 per microliter, with 74% neutrophils. Abdominal Ultrasound was inconclusive. Surgeons performed an emergency laparoscopic exploration with a provisional diagnosis of acute appendicitis. A laparoscopic examination revealed an anticlockwise 360° twist in the appendix. They performed an appendectomy, and the recovery after the procedure went smoothly. Vermiform appendix torsion is a highly uncommon ailment that might be challenging to differentiate from acute appendicitis. Late detection and inappropriate management plans can result in the appendix gangrene and perforation. In pediatric patients with acute abdominal pain, it is critical to consider appendicular torsion as a differential diagnosis.

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Section: Discussionmentioning

confidence: 99%