Traumatic appendicitis in minor blunt abdominal injury
Emergency Medicine Australasia, 06/08/2012Paschos KA et al.
A 17–year–old girl developed appendicitis after a minor blunt abdominal trauma (BAT). An ecchymosis at the right lower quadrant misled the diagnosis, which was made 1 day later. Laparotomy revealed an inflamed appendix, a few enlarged mesenteric lymph nodes, contusion, as well as punctuated bleeding sites of the caecum. It is suggested that appendicitis should be considered as a possibility in the setting of right lower quadrant pain following minor BAT, when there is clinical suspicion of an inflammatory process within the right iliac fossa.
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