[Torsion of the vermiform appendix associated with intussusception]
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Published on: August 24, 2019
Carlos Baeza-Herrera1, Luis Manuel García-Cabello, Alberto León-Cruz
1Curso de Cirugía, UNAM, Departamento de Cirugía General, Hospital Pediátrico Moctezuma, México.
Insights
Vermiform appendix torsion is rare, with this case being the first linked to intussusception in an infant. Early diagnosis and surgical intervention are crucial for favorable outcomes in pediatric abdominal emergencies.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Vermiform appendix torsion is an exceptionally rare surgical emergency.
- Only 25 cases have been documented globally, highlighting its rarity.
Observation:
- A 2-month-old infant presented with acute abdominal pain attributed to ileocecal intussusception.
- Surgical reduction of intussusception was performed, but a subsequent laparotomy revealed concurrent torsion and perforation of the vermiform appendix.
Findings:
- The patient underwent an appendectomy for the perforated appendix.
- Complications included appendiceal stump dehiscence and cecal perforation, necessitating further surgical management.
Implications:
- This case represents the first reported instance of vermiform appendix torsion associated with intussusception.
- Highlights the importance of considering rare diagnoses in pediatric abdominal emergencies and the potential for complex presentations.
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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