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Published on: August 24, 2019
[Torsion of the vermiform appendix associated with intussusception]
Carlos Baeza-Herrera1, Luis Manuel García-Cabello, Alberto León-Cruz
1Curso de Cirugía, UNAM, Departamento de Cirugía General, Hospital Pediátrico Moctezuma, México.
Background:
Vermiform appendix torsion is a rare condition, with only 25 cases recorded in the international literature. Our patient is the first case associated with intussusception.
Case Report:
A 2-month-old female infant suddenly developed severe abdominal pain due to ileoceal intussusception. During surgical exploration, a tight intussusception was reduced. Three days later, a new laparotomy was required and we found torsion and perforation of the vermiform appendix. The patient underwent appendectomy, but there was dehiscence of the appendiceal stump and cecal perforation requiring a new surgical exploration. The patient had an uneventful recovery.
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