Torsion of the vermiform appendix is a rare disorder, which causes abdominal symptoms indistinguishable from acute appendicitis. We report a case (a 34-year-old male) of secondary torsion of the vermiform appendix with mucinous cystadenoma. This case was characterized by mild inflammatory responses, pentazocine-resistant abdominal pain, and appendiceal tumor, which was not enhanced by the contrast medium on computed tomography presumably because of reduced blood flow by the torsion. These findings may be helpful for the preoperative diagnosis of secondary appendiceal torsion.
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http://dx.doi.org/10.1159/000104679 | DOI Listing |
Emerg Radiol
December 2024
Department of Surgery, Kiriyama Clinic, Nagoya, Aichi, Japan.
Epiploic appendagitis of the vermiform appendix is a rare cause of right lower abdominal pain that can mimic acute appendicitis and result in unnecessary surgery. Despite this, the condition can be managed with non-steroidal anti-inflammatory drugs alone. Due to the lack of characteristic physical or laboratory findings, accurate diagnosis by imaging is crucial.
View Article and Find Full Text PDFIn Vivo
April 2024
Hellenic Minimally Invasive and Robotic Surgery (M.I.R.S.) Study Group, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Background/aim: Primary omental torsion is uncommon, mimicking appendicitis and other acute abdominal pathologies. It often escapes diagnosis on imaging investigation or conventional open laparotomy. This study aimed to evaluate the effect of laparoscopy on the various parameters of this entity, including incidence, diagnosis, and treatment.
View Article and Find Full Text PDFJ Surg Case Rep
May 2023
Abdominal Surgery Department, Centre Hospitalier Régional de Namur, Site Meuse, 5000 Namur Belgium.
Vermiform appendix torsion is a rare condition that mimics acute appendicitis and is diagnosed during surgery. On the other hand, pylephlebitis (or septic thrombophlebitis) is a complication that occurs due to occlusive thrombosis of mesenteric venous system branches secondary to intra-abdominal infections. Although rare since the antibiotic era, it must be considered in the differential diagnosis of postoperative fever.
View Article and Find Full Text PDFPediatr Med Chir
May 2021
Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza.
In pediatric patients appendicitis is the most common cause of abdominal pain and surgery. Torsion of vermiform appendix is a rare cause, clinically indistinguishable from appendicitis with usually an intraoperative diagnosis. The first description of vermiform appendix torsion was made by Payne in 1918.
View Article and Find Full Text PDFClin Res Hepatol Gastroenterol
March 2021
Surgery Department - Antony Private Hospital, 1 Rue Velpeau, 92160 Antony, France.
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