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Floating appendix: post-traumatic amputation of the appendix as sequela or complication?: a case report.

Kanika Sharma1, Shreya Tomar1, Shilpa Sharma2

  • 1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.

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Summary

This case report details a rare instance of auto-amputation of the appendix following blunt abdominal trauma in a child. This delayed presentation of peritonitis highlights an unusual complication after initial trauma management.

Keywords:
Abdominal blunt traumaAppendiceal transectionBurst abdomenCase reportPediatric

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Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Appendicitis and appendiceal transection are known complications of abdominal trauma.
  • Auto-amputation of the appendix as a delayed presentation of peritonitis is exceptionally rare.

Observation:

  • An 11-year-old boy with blunt abdominal trauma underwent laparotomy for jejunal perforation.
  • Postoperatively, he developed a burst abdomen and subsequent peritonitis.
  • A second surgery revealed a free-floating appendix, indicating auto-amputation.

Findings:

  • The appendix was found auto-amputated in the left paracolic gutter during the second surgical intervention.
  • The patient recovered fully after peritoneal lavage and management of the peritonitis.
  • No complications were noted at the 1-year follow-up.

Implications:

  • Auto-amputation of the appendix should be considered in the differential diagnosis of delayed peritonitis after abdominal trauma.
  • This case underscores the importance of considering unusual complications in trauma patients.
  • Highlights the need for vigilance in diagnosing delayed presentations of intra-abdominal injuries.