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Co-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report | ||
Iranian Journal of Medical Sciences | ||
مقاله 10، دوره 38، شماره 4، دی 2013، صفحه 343-346 اصل مقاله (264.87 K) | ||
نوع مقاله: Case Report(s) | ||
نویسندگان | ||
Sam Moslemi1؛ Hamid Reza Forootan2؛ Maryam Tahamtan* 3 | ||
1Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
2Department of Pediatric Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
3Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
چکیده | ||
A 13-year-old boy with a history of bicycle handlebar injury to the left side of his abdomen was brought to the Emergency Department of our center. On admission, his vital signs were stable and abdominal examination revealed ecchymosis and tenderness of the injured areas. Mild to moderate free fluid and two small foci of free air in the anterior aspect of the abdomen, in favor of pneumoperitoneum, were detected in abdominopelvic sonography and CT-scan, respectively. In less than 6 hours, the patient developed generalized peritonitis. Therefore, exploratory laparotomy was promptly performed, which revealed appendiceal transection and rupture of the small bowel mesentery. Appendectomy and small bowel mesoplasty were done, with pathological diagnosis of acute appendicitis and periappendicitis. After surgery, the patient had a non-complicated hospital course. This rare case highlights the significance of the early management of appendiceal traumatic injuries in order to prevent further complicated events, especially in patients who are much more exposed to this risk due to their traumatic background. | ||
کلیدواژهها | ||
Abdominal injury؛ Appendiceal؛ Transection؛ Acute appendicitis | ||
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