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Acute appendicitis is the commonest emergency condition requiring surgery in the United Kingdom. Its precise aetiology, however, remains unproven: dietary, genetic factors, and infectious agents have been implicated.1 Trauma has also been proposed as a cause of acute appendicitis, but there are doubts as to whether this is a casual or causal relation. In this case report we produce compelling evidence that trauma can cause acute appendicitis.
A previously fit 60 year old man was admitted with abdominal pain three days after a fall from a ladder. The mechanism of injury was that the foot of the ladder slipped away with the patient …