Document Type : Case Report
Authors
1 Department of Surgery, Imam Hossein University Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Objective: One of the most prevalent surgical emergencies is appendicitis, caused by different factors. However, its relation to trauma has not been well-known yet. Here we have described three cases with blunt abdominal trauma and a secondary diagnosis of appendicitis that were transferred to the operation room.
Case Presentation: Three patients suffering from blunt trauma and abdominal pain were referred to the emergency department (ED). Of these patients, one of them was transferred to the operation room (OR) with a peritonitis diagnosis and the other two patients had appendicitis signs and symptoms. The abdominal pain and related signs and symptoms of these three patients were due to appendicitis. All three patients were discharged from the hospital with normal vital signs.
Conclusion: Traumatic appendicitis might be regarded as one of the differential diagnoses of the patients referred to the ED with blunt abdominal trauma and abdominal pain; hence, appendicitis and blunt abdominal trauma have some unknown relations.
Keywords
Main Subjects
appendicitis. EAES consensus development conference 2015. Surg Endosc 2016; 30(11): 4668-90. doi: 10.1007/
s00464-016-5245-7.
2. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the
United States. Am J Epidemiol 1990; 132(5): 910-25. doi:10.1093/oxfordjournals.aje.a115734.
3. Baird DLH, Simillis C, Kontovounisios C, Rasheed S,Tekkis PP. Acute appendicitis. BMJ 2017; 357: j1703. doi:
10.1136/bmj.j1703.
4. Toumi Z, Chan A, Hadfield MB, Hulton NR. Systematic review of blunt abdominal trauma as a cause of acute
appendicitis. Ann R Coll Surg Engl 2010; 92(6): 477-82. doi:10.1308/003588410x12664192075936.
5. Etensel B, Yazici M, Gürsoy H, Ozkisacik S, Erkus M. The effect of blunt abdominal trauma on appendix vermiformis.
Emerg Med J 2005; 22(12): 874-7. doi: 10.1136/emj.2004.018895.
6. Karatepe O, Adas G, Tukenmez M, Battal M, Altiok M, Karahan S. Parasitic infestation as cause of acute
appendicitis. G Chir 2009; 30(10): 426-8.
7. Richardsen I, Schöb DS, Ulmer TF, Steinau G, Neumann UP, Klink CD, et al. Etiology of appendicitis in children:
the role of bacterial and viral pathogens. J Invest Surg 2016; 29(2): 74-9. doi: 10.3109/08941939.2015.1065300.
8. Arumugam S, Al-Hassani A, El-Menyar A, Abdelrahman H, Parchani A, Peralta R, et al. Frequency, causes and
pattern of abdominal trauma: a 4-year descriptive analysis. J Emerg Trauma Shock 2015; 8(4): 193-8. doi: 10.4103/0974-
2700.166590.
9. Toffaha A, Al-Yahri O, Hijawi Z, Al-Mudares S, Al-Tarakji M, Shahid F, et al. Appendicitis Secondary to
Trauma following a Camel Kick: Case Report and Review of Literature. Case Rep Surg 2021; 2021: 6667873. doi:
10.1155/2021/6667873.
10. Siddiqui J, Oliphant R, Suen M. Appendicitis: a traumatic etiology. J Case Rep 2018; 8(3): 176-8. doi:10.17659/01.2018.0047.
11. Zvizdic Z, Pasic-Sefic I, Vranic S. Acute perforated appendicitis after blunt abdominal trauma: a report from
a 7-year-old. Am J Emerg Med 2020; 38(2): 408.e1-408.e2.doi: 10.1016/j.ajem.2019.158447.
12. Mukhopadhyay M. Intestinal injury from blunt abdominal trauma: a study of 47 cases. Oman Med J 2009; 24(4): 256-9. doi: 10.5001/omj.2009.52.
13. Dennis C, Buirge RE, Varco RL, Wangensteen OH. Studies in the etiology of acute appendicitis: An inquiry into the
factors involved in the development of acute appendicitis following experimental obstruction of the appendical
lumen of the rabbit. Arch Surg 1940; 40(5): 929-48. doi:10.1001/archsurg.1940.04080040111011.
14. Wells AQ. Experimental lesions of the rabbit’s appendix. Br J Surg 1937; 24(96): 766-72. doi:10.1002/bjs.1800249615.
15. Paschos KA, Boulas K, Liapis A, Georgiou E, Vrakas X. Traumatic appendicitis in minor blunt abdominal injury. Emerg Med Australas 2012; 24(3): 343-6. doi:10.1111/j.1742-6723.2012.01557.x.
16. Cobb T. Appendicitis following blunt abdominal trauma. Am J Emerg Med 2017; 35(9): 1386.e5-1386.e6. doi:
10.1016/j.ajem.2017.06.051.