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2006, Number 5

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Cir Cir 2006; 74 (5)

Torsion of the vermiform appendix associated with intussusception

Baeza-Herrera C, García-Cabello LM, León-Cruz A, Martínez-Rivera ML
Full text How to cite this article

Language: Spanish
References: 8
Page: 369-371
PDF size: 62.14 Kb.


Key words:

vermiform appendix, peritonitis, intussusception.

ABSTRACT

Background: Vermiform appendix torsion is a rare condition, with only 25 cases recorded in the international literature. Our patient is the first case associated with intussusception.
Case report. A 2-month-old female infant suddenly developed severe abdominal pain due to ileoceal intussusception. During surgical exploration, a tight intussusception was reduced. Three days later, a new laparotomy was required and we found torsion and perforation of the vermiform appendix. The patient underwent appendectomy, but there was dehiscence of the appendiceal stump and cecal perforation requiring a new surgical exploration. The patient had an unevenful recovery.


REFERENCES

  1. Gopal K, Kumar S, Grewal H. Torsion of the vermiform appendix. J Surg 2005;40:446-447.

  2. Moten AL, Williams RS. Torsion of the appendix. MJA 2002;177:632.

  3. Gilchrist BF. Torsion of the appendix. J Pediatr Surg 1995;30:901-902.

  4. Killam AR. An unusual cause of appendicitis: torsion produced by a mesoappendiceal lipoma. Am Surg 1969;35:648-649.

  5. 5.Dewan PA, Woodward A. Torsion of the vermiform appendix. J Pediatr-Surg 1986;21:370.

  6. Baeza HC, Guido OR, González JAG. Rojas EA. Apendicitis en niños menores de tres años. Rev Gastroenterol Mex 1994;59:213-217.

  7. 7.Won OH. Waxman M. Torsion of vermiform appendix. JAMA 1977;237:1313-1314.

  8. Finch DRA. Torsion of the appendix. Br J Clin Pract 1974;28:391-392.




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Cir Cir. 2006;74