Case Report
 
Torsion of the vermiform appendix: A rare intraoperative finding
Muhammad Yaman Adi1, Mohammad Bader2, Ingo Jester3
1Senior House Officer, Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom.
2Surgical Registrar, Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom.
3Consultant Paediatric Surgeon, Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom.

doi:10.5348/ijcri-201461-CR-10372

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Muhammad Yaman Adi
Birmingham Children's Hospital
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Email: yamanadi@msn.com

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How to cite this article
Adi MY, Bader M, Jester I. Torsion of the vermiform appendix: A rare intraoperative finding. International Journal of Case Reports and Images 2014;5(4):299–301.


Abstract
Introduction: Torsion of the vermiform appendix is a rare intraoperative diagnosis. The clinical presentation is identical to that of acute appendicitis, with preoperative investigations playing a minimal role. The aetiology of the torsion is unclear, though it has been associated with fecoliths, lipomas and mucoceles of the appendix.
Case Report: This case report describes a rare presentation of a four-year-old boy with a history and examination classical of acute appendicitis. Intraoperatively, a torsion of the vermiform appendix was found. The clinical presentation and operative intervention are reviewed.
Conclusion: Torsion of the vermiform appendix is a rare cause of acute abdominal pain, mimicking acute appendicitis in presentation. Clinicians need to be aware of this intraoperative diagnosis and be able to manage it in the theatre.

Keywords: Torsion, Vermiform appendix, Appendicitis, Pediatric


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Author Contributions
Muhammad Yaman Adi – Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Mohammad Bader – Conception and design, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Ingo Jester – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Muhammad Yaman Adi et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)