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Acute appendicitis after motor vehicle collision.

Sean M DuBois¹, Lauryn A Ullrich²

¹Department of General Surgery, St. Luke's University Health Network, Bethlehem, PA, United States of America.

Trauma Case Reports

|July 17, 2025

Summary

Blunt abdominal trauma can cause acute appendicitis, a rare but serious condition. This case highlights the importance of considering appendicitis in pediatric trauma patients, even with seatbelt sign injuries.

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Area of Science:

Pediatric Surgery
Trauma Surgery
Emergency Medicine

Background:

Acute appendicitis is a common surgical emergency.
Blunt abdominal trauma is an uncommon cause of appendicitis, occurring in 0.3-0.9% of cases.
Traumatic appendicitis is more frequently observed in pediatric patients.

Observation:

A 13-year-old female presented after a motor vehicle collision with seatbelt sign injuries.
Clinical findings included abdominal tenderness in the periumbilical and right lower quadrants.
Imaging suggested the development of appendicitis.

Findings:

Intraoperative findings revealed a long, dilated, and inflamed appendix.
The patient underwent successful laparoscopic appendectomy.
The patient recovered well postoperatively.

Implications:

Maintaining a high index of suspicion for appendicitis is crucial in pediatric trauma evaluations.
Early diagnosis and surgical intervention are key for favorable outcomes.
This case underscores the need to consider non-obvious etiologies for abdominal emergencies in pediatric trauma.