Acute torsion and ischemia of the appendix in a young child

Torsion of the vermiform appendix is a rare diagnosis; its clinical and radiographic presentation can mimic that of acute appendicitis. We report the case of a two-year-old boy presenting with a one day history of lower abdominal pain and serial ultrasound examinations suspicious for atypical acute...

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Main Authors: Dhruvin H. Hirpara (Author), Georges Azzie (Author)
Format: Book
Published: Elsevier, 2018-04-01T00:00:00Z.
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100 1 0 |a Dhruvin H. Hirpara  |e author 
700 1 0 |a Georges Azzie  |e author 
245 0 0 |a Acute torsion and ischemia of the appendix in a young child 
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500 |a 2213-5766 
500 |a 10.1016/j.epsc.2018.02.006 
520 |a Torsion of the vermiform appendix is a rare diagnosis; its clinical and radiographic presentation can mimic that of acute appendicitis. We report the case of a two-year-old boy presenting with a one day history of lower abdominal pain and serial ultrasound examinations suspicious for atypical acute appendicitis. Operative findings revealed a necrotic and engorged appendix with a 720° clockwise torsion at its base. Final pathology was consistent with ischemic necrosis in the setting of lymphoid hyperplasia. A brief update on the current body of literature regarding pediatric torsion of the vermiform appendix is provided. Keywords: Appendicitis, Volvulus, Torsion 
546 |a EN 
690 |a Pediatrics 
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690 |a Surgery 
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786 0 |n Journal of Pediatric Surgery Case Reports, Vol 31, Iss , Pp 77-79 (2018) 
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