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Laparoscopic management of a torted appendix.

N Rajendran1, S Ameen, A Rohatgi

  • 1St George's Hospital, London, UK. Nirooshun@hotmail.com

Annals of the Royal College of Surgeons of England
|October 25, 2006
PubMed
Summary
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Torsion of the appendix is uncommon but should be considered in cases of hemorrhagic, congested appendix during laparoscopy. Laparoscopic excision is often feasible due to the rarity of adhesions.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal torsion is a rare surgical emergency.
  • It presents with acute abdominal pain, mimicking acute appendicitis.

Observation:

  • Laparoscopic findings may include a hemorrhagic and congested appendix.
  • Adhesions are typically absent in cases of appendiceal torsion.

Findings:

  • Appendiceal torsion can be diagnosed and treated laparoscopically.
  • Laparoscopic excision is a viable and effective treatment option.

Implications:

  • Early consideration of appendiceal torsion can prevent misdiagnosis.
  • Laparoscopic management offers a minimally invasive approach for this rare condition.

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