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Seat Belt Compression Appendicitis following Motor Vehicle Collision.

Muhammad Faisal Khilji1, Qazi Zia Ullah1

  • 1Department of Emergency Medicine, Sultan Qaboos University Hospital, Muscat, Oman.

Case Reports in Emergency Medicine
|March 25, 2017
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Summary
This summary is machine-generated.

A rare case of appendicitis caused by seat belt compression following a motor vehicle collision is presented. This unusual presentation highlights a unique mechanism of traumatic appendicitis, requiring prompt diagnosis and surgical intervention.

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Appendicitis and trauma are common emergency department presentations.
  • Concurrent presentation in a single patient is rare.
  • Motor vehicle collisions are a frequent cause of trauma.

Observation:

  • A middle-aged male presented with abdominal pain post-motor vehicle collision.
  • Physical examination revealed right iliac fossa tenderness and a seat belt mark.
  • Computerized tomography (CT) showed appendiceal wall thickening and adjacent fat stranding.

Findings:

  • CT findings were consistent with post-traumatic seat belt compression appendicitis.
  • Laparoscopic appendectomy was successfully performed.
  • Histopathology confirmed appendiceal inflammation.

Implications:

  • This case expands the differential diagnosis of abdominal pain after trauma.
  • Seat belt compression is a potential, albeit uncommon, mechanism for appendicitis.
  • Highlights the importance of thorough secondary surveys in trauma patients.