ORIGINAL ARTICLE

The effect of blunt abdominal trauma on appendix vermiformis

B Etensel, M Yazc, H Gürsoy, S Özksack and M Erku

Department of Pediatric Surgery and Pathology, Adnan Menderes University, Aydn, Turkey

Correspondence to:
Correspondence to:
Dr B Etensel
Adnan Menderes Universitesi, Tp Fakultesi, Cocuk Cerrahisi Anabilim Dal, 09100 Aydn, Turkey; betensel{at}adu.edu.tr

Objectives: Trauma and appendicitis are the most common conditions of childhood for which surgical consultation is sought in emergency departments. Occasionally, appendicitis and trauma exist together, which causes an interesting debate whether trauma has led to appendicitis. We aimed to evaluate our patients with traumatic appendicitis and to discuss their properties in the light of the literature.

Methods: We retrospectively reviewed the charts of children of blunt abdominal trauma accompanied by appendicitis.

Results: Of 29 cases of blunt abdominal trauma that had required surgical exploration, five were found to have gross findings of acute appendicitis and underwent appendicectomy. Appendicitis was confirmed histopathologically.

Conclusion: It should be kept in mind that children managed for severe blunt abdominal trauma may develop appendicitis. If clinical outlook suggests appendicitis in cases conservatively managed for blunt abdominal trauma, physical examinations, abdominal ultrasonography and/or abdominal computed tomography should be repeated for diagnosis of traumatic appendicitis. This approach will help to protect the patients against the complications of appendicitis that are likely to develop.

Abbreviations: BAT, blunt abdominal trauma; CT, computed tomography; ED, emergency department; IAP, intra-abdominal pressure; TA, traumatic appendicitis; WBC, white blood cell count

Keywords: blunt abdominal trauma; traumatic appendicitis; abdominal compartment syndrome

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