Delayed presentation of a caecal haematoma initially managed as appendicitis

Area of Science:

• Gastroenterology
• Pediatric Surgery

Background:

• Caecal haematoma is a rare condition, typically presenting with acute abdominal pain.
• Adolescent presentation can differ, with potential for delayed diagnosis after minor trauma.

Observation:

• A 15-year-old male presented with symptoms several days after minor trauma.
• The patient developed small bowel obstruction and a near-perforation of the caecum.

Findings:

• The patient required a right hemicolectomy for management of the caecal haematoma and its complications.
• The anatomical position of the caecum presents unique surgical challenges.

Implications:

• This case underscores the importance of considering caecal haematoma in adolescents with abdominal pain, even after minor trauma.
• Specialized surgical approaches are necessary due to the caecum's anatomical location.