Posttraumatic appendicitis; Is it true or rumor?

Year 2015, , 67 - 69, 01.01.2015

Ayşegül Altunkaş Tuğba İlkem Özçağlayan Ahmet Orhan Çelik Ahmet Sümbül

https://doi.org/10.5505/abantmedj.2015.05025

Abstract

Several cases of appendicitis after blunt abdominal trauma have been reported in the literature. Whether there is a causative relationship between these two entities has long been a subject of debate. In the diagnosis of acute appendicitis, a well-received history and a good physical examination is very important. However, history and physical examination findings on cases of after blunt abdominal trauma may be misleading. Therefore, in these cases the symptoms associated with trauma may delay the diagnosis of acute appendicitis. We report a case of posttraumatic appendicitis and discuss possible pathogenetic mechanisms.

Keywords

Blunt abdominal trauma, appendectomy, appendicitis

Posttravmatik apandisit; gerçek mi söylenti mi?

Abstract

Literatürde travma sonrası tanımlanmış, akut apandisit vakaları mevcuttur. Bununla birlikte travmanın akut apandisitin nedenlerinden biri olup olmadığı hala tartışma konusudur. Akut apandisit tanısında, iyi alınan bir anamnez ile yapılacak dikkatli ve iyi bir fizik muayene oldukça önemlidir. Ancak posttravmatik bir olguda anamnez ve fizik muayene bulguları yanıltıcı olabilmektedir. Bu nedenle bu olgularda semptomların travma ile ilişkilendirilmesi akut apandisit tanısını geciktirebilir. Biz künt batın travması sonrası akut apandisit tanısı konulan bir olguyu ve olası patolojik mekanizmalarını sunmayı amaçladık.

Keywords

Künt abdominal travma, apandektomi, apandisit

References

• 1-Kozar RA, Roslyn JJ. The appendix. In: Schwartz SI, editor. Principles of surgery. Vol. 2, 7th ed. New York: McGraw-Hill; 1999. p. 1383-94.
• 2-Creed F. Life events and appendicectomy. Lancet 1981; 1:1381-5.
• 3-Ciftci AO, Tanyel FC, Buyukpamukcu N, Hicsonmez A. Appendicitis after blunt abdominal trauma: cause or coincidence? Eur J Pediatr Surg 1996;6:350-3.
• 4-Hennington MH, Tinsley EA Jr, Proctor HJ, Baker CC. Acute appendicitis following blunt abdominal trauma. Incidence or coincidence? Ann Surg 1991;214:61-3.
• 5-Serour F, Efrati Y, Klin B, Shikar S, Weinberg M, Vinograd I. Acute appendicitis following abdominal trauma. Arch Surg 1996;131:785-6.
• 6-Condon RE, Telford GL. Appendicits. In: Sabiston DC. Textbook of Surgery. 14th ed. Philadelphia, 1991: 884-898.
• 7-Walker AR, Segal I. What causes appendicitis? J Clin Gastroenterol. 1990; 12: 127-129.
• 8-Green SM, Schmidt SP, Rothrock SG. Delayed appendicitis from an ingested foreign body. Am J Emerg Med 1994; 12: 53-56.
• 9-Kozar RA, Roslyn JJ. The appendix. In: Schwartz SI, editor. Principles of surgery. Vol. 2, 7th ed. New York: McGraw-Hill; 1999. p. 1383-94.
• 10-Ramsook C. Traumatic Appendicitis: fact or fiction? Pediatr Emerg Care. 2001 Aug;17 (4): 264-6.
• 11-Wray CJ, Kao LS, Millas SG, Tsao K, Ko TC. Acute appendicitis: controversies in diagnosis and management. Curr Probl Surg. 2013 Feb;50(2):54-86.
• 12-Kim SY, Lee KH, Kim K, Kim TY, Lee HS, Hwang SS, Song KJ, Kang HS, Kim YH,Rhee JE. Acute appendicitis in young adults: low- versus standard-radiationdose contrast-enhanced abdominal CT for diagnosis. Radiology. 2011 Aug;260(2):437-45.
• 13-Hsieh CH, Lu RH, Lee NH, Chiu WT, Hsu MH, Li YC. Novel solutions for an old disease: diagnosis of acute appendicitis with random forest, suvector machines, and artificial neural networks. Surgery. 2011 Jan;149(1):87-93.
• 14-Shindoh J, Niwa H, Kawai K, Ohata K, Ishihara Y, Takabayashi N, Kobayashi R, Hiramatsu T. Predictive factors for negative outcomes in initial nonoperative management of suspected appendicitis. J Gastrointest Surg. 2010 Feb;14(2):309-14