https://doi.org/10.4081/pmc.2021.251
Torsion of cecal appendix. Report of the first Italian case and review of the literature
Submitted: 10 January 2021
Accepted: 20 April 2021
Published: 7 May 2021
Accepted: 20 April 2021
Abstract Views: 2388
PDF: 424
HTML: 21
HTML: 21
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
In pediatric patients appendicitis is the most common cause of abdominal pain and surgery. Torsion of vermiform appendix is a rare cause, clinically indistinguishable from appendicitis with usually an intraoperative diagnosis. The first description of vermiform appendix torsion was made by Payne in 1918. Clinical presentation is similar to acute appendicitis. Preoperative investigations play a minimal role. Etiology of this condition is unclear, but is possible to distinguish a primary and a secondary torsion. We report a case of 5-years-old boy who presented with right lower quadrant abdominal pain. His clinical signs, symptoms and investigations mimicked an acute appendicitis. Intraoperatively we found a 720° appendix torsion on its base with its mesentery rotated in counter-clockwise direction. The appendix was gangrenous in appearance. A video-assisted trans-umbilical appendectomy was performed. We describe clinical presentation and management of this rare condition reviewing the literature.
Payne J. A case of torsion of the appendix. Br J Surg 1918;6:327.
DOI: https://doi.org/10.1002/bjs.1800062216
Beevors EC. Torsion of the appendix. Lancet l920;195:597-8.
DOI: https://doi.org/10.1016/S0140-6736(01)16632-8
Somogyi R, Kutasy B, CsÃzy I, et al. Torsion of the vermiform appendix. Report of 2 cases. Journal of Paed Surg Specialties 2009 3:46-7.
Yeung CK, Saing H. Primary torsion of the vermiform appendix in a 50-day-old infant. Pediatr Surg Int 1991;6:223–4.
Tzilinis A, Vahedi MH, Wittenborn WS. Appendiceal torsion in an adult: Case report and review of the literature. Curr Surg 2002;59:410–1.
DOI: https://doi.org/10.1016/S0149-7944(02)00615-3
Montes-Tapia F, Quiroga-Garza A, Abrego-Moya V. Primary torsion of the vermiform appendix and undescended cecum treated by video-assisted transumbilical appendectomy. J Laparoendosc Adv Surg Tech A 2009;19:839–41.
DOI: https://doi.org/10.1089/lap.2008.0300
Kitagawa M, Kotani T, Yamano T, Tsurudome H, et al. Secondary torsion of vermiform appendix with mucinous cystadenoma. Case Rep Gastroenterol 2007;1:32–7.
DOI: https://doi.org/10.1159/000104679
Dimitriadis PA, Makar RR, Randall JK, Ramus J. Appendiceal torsion associated with undescended caecum: a case report and review of the literature. BMJ Case Reports 2012;2012:bcr2012006932.
DOI: https://doi.org/10.1136/bcr-2012-006932
Adi MY, Bader M, Jester I. Torsion of the vermiform appendix: A rare intraoperative finding. Int J Case Rep Images 2014;5:299–301.
DOI: https://doi.org/10.5348/ijcri-201461-CR-10372
Ioannis V, Irene P, Vasileios S, Dimitrios S. Laparoscopic treatment of vermiform appendix torsion. APSP J Case Rep 2017;8:36.
DOI: https://doi.org/10.21699/ajcr.v8i5.639
Endo K, Sato M, Saga K, et al. Torsion of vermiform appendix: case report and review of the literature. Surg Case Rep 2020;6:6.
DOI: https://doi.org/10.1186/s40792-020-0771-x
Carter AE. Torsion of the Appendix. Postgrad Med J. 1959;35:671–2.
DOI: https://doi.org/10.1136/pgmj.35.410.671
Chan KP. Volvulus complicating mucocele of the appendix. Br J Surg 1965;52:713–4-
DOI: https://doi.org/10.1002/bjs.1800520921
Ghent WR, Carnovale BV. Primary volvulus of the appendix. Can Med Assoc J 1966;95:926–7.
Finch DR. Torsion of the appendix. Br J Clin Pract 1974;28:391–2.
Willan PT, Wickham MH. Torsion of the appendix. Ir J Med Sci 1983;152:168.
DOI: https://doi.org/10.1007/BF02960063
Dewan PA, Woodward A. Torsion of the vermiform appendix. J Pediatr Surg 1986;21:379–80.
DOI: https://doi.org/10.1016/S0022-3468(86)80211-1
Waters DJ, Wilson BE, Salow W. Acute appendiceal torsion - a rare surgical entity: report of a case and review of the literature. Am Osteopath 1986;86:224–5.
Yeung CK, Saing H. Primary torsion of the vermiform appendix in a 50-day-old infant. Pediatr Surg Int 1991;6:223–4.
DOI: https://doi.org/10.1007/BF00176075
Merrett ND, Lubowski DZ, King DW. Torsion of the vermiform appendix a case report and review of literature. Aust N Z J Surg 1992;62:981–3.
DOI: https://doi.org/10.1111/j.1445-2197.1992.tb07661.x
Gilchrist BF. Torsion of the appendix. J Pediatr Surg 1995;30:901–2.
DOI: https://doi.org/10.1016/0022-3468(95)90781-5
Val-Bernal JF, González-Vela C, Garijo MF. Primary acute torsion of the vermiform appendix. Pediatr Pathol Lab Med 1996;16:655–61.
DOI: https://doi.org/10.1080/15513819609168701
Uroz-Tristan J, Garcia-Urguelles J, Poenare D, et al. Torsion of vermiform appendix: value of ultrasonographic finding. Eur J Pediatr Surg 1988;8:376-7.
DOI: https://doi.org/10.1055/s-2008-1071238
Oǧuzkurt P, Oǧuzkurt L, Kayaselcuk F, Öz S. An unusual cause of acute abdomen: torsion of colonic duplication over a duplicated appendix. Pediatr Surg Int 2004;20:722–3.
DOI: https://doi.org/10.1007/s00383-004-1283-7
Gopal K, Kumar S, Grewal H. Torsion of the vermiform appendix. J Pediatr Surg 2005;40:446–7.
DOI: https://doi.org/10.1016/j.jpedsurg.2004.10.027
Sarin YK, Pathak D. Torsion of vermiform appendix. Indian Pediatr 2006;43:266–7.
Perger L, Muensterer OJ. Laparoscopic appendectomy for torsed appendix presenting as an acute abdomen in an infant female. JSLS 2011;15:565–7.
DOI: https://doi.org/10.4293/108680811X13176785204634
D’Souza GF, Abdessalam S. Volvulus of the appendix: a case report. J Pediatr Surg 2011;46:E43–4.
DOI: https://doi.org/10.1016/j.jpedsurg.2011.04.061
Hirpara DH, Azzie G. Acute torsion and ischemia of the appendix in a young child. J Pediatr Surg Case Rep 2018;31:77–9.
DOI: https://doi.org/10.1016/j.epsc.2018.02.006
Samuk I, Dlugy E, Seguier-Lipszyc E, et al. Not only appendicitis: rare appendix disorders manifesting as surgical emergencies in children. Eur J Ped 2021;180:407-13.
DOI: https://doi.org/10.1007/s00431-020-03784-4
Darbyshire D, Sutton PA, Kosai NR, Varghese J. Torsion of the vermiform appendix – A review of the literature. West London Med J 2011;3:14-8.
Wani I, Kitagawa M, Rather M, et al. Torsion of vermiform appendix with fecalith: a case report. Cases J 2008;1:20.
DOI: https://doi.org/10.1186/1757-1626-1-20
Wan Hassan WA, Tay YK, Ghadiri M. Torsion of the vermiform appendix: a case report and review of literature. Am J Case Rep 2018;28:365–8.
DOI: https://doi.org/10.12659/AJCR.908725
Suggala S, Gopi E, Sreejayan M. Torsion of vermiform appendix: a case report. Internet J Surg 2008;17:4-7.
DOI: https://doi.org/10.5580/1efb
Hamada T, Kosaka K, Shigeoka N, et al. Torsion of the appendix secondary to appendiceal mucocele: gray scale and contrast-enhanced sonographic findings. J Ultrasound Med 2007;26:111–5.
DOI: https://doi.org/10.7863/jum.2007.26.1.111
Supporting Agencies
No supporting agenciesHow to Cite
Chiarenza, S. F., Costa, L., & Bleve, C. (2021). Torsion of cecal appendix. Report of the first Italian case and review of the literature. La Pediatria Medica E Chirurgica, 43(1). https://doi.org/10.4081/pmc.2021.251
Copyright (c) 2021 The Authors
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Edoardo Bindi, Fabiano Nino, Francesco Pierangeli, Michele Ilari, Taisia Bollettini, Elisa Chiarella, Francesca Mariscoli, Gianluca Gentilucci, Alba Cruccetti, Giovanni Cobellis, Transumbilical laparoscopic-assisted appendectomy versus laparoscopic appendectomy in children: a single center experience , La Pediatria Medica e Chirurgica: Vol. 45 No. 1 (2023)
- Paul Anthony Karam, Amy Hiuser, David Magnuson, Federico Gian Filippo Seifarth, Intracorporeal hybrid single port vs conventional laparoscopic appendectomy in children , La Pediatria Medica e Chirurgica: Vol. 38 No. 3 (2016)
- Marta Peretti, Arianna Mariotto, Gabriella Scirè, Elisa Pani, Silvia Zambaldo, Sanzio Bianchi, Francesco Saverio Camoglio, Luca Giacomello, Wandering spleen with a ten-time twisted vascular pedicle , La Pediatria Medica e Chirurgica: Vol. 38 No. 3 (2016)
- M. Cimador, M. Pensabene, F. Siracusa, Laparoscopic management of an isolated left fallopian tube torsion due to twisted Morgagni Hydatid in a pre-menarcheal girl , La Pediatria Medica e Chirurgica: Vol. 36 No. 2 (2014)
- Sarah Abdelmohsen, Mohamed Abdelkader Osman, Hussein Ali Mostafa, Mohamed Fathy, Ibrahim Ali Ibrahim, Mahmoud Mohamed Mostafa, Almoutaz A. Eltayeb, Osama Abdullah Abdul Raheem, Rectovestibular fistula: Which surgical approach is suitable? A randomized controlled trial , La Pediatria Medica e Chirurgica: Vol. 44 No. 1 (2022)
- G. Bordin, F. Parolini, A. Morandi, G. Farris, E.M. Leva, M. Torricelli, Intravaginal testicular torsion in newborns. To fix or not to fix the contralateral testis? , La Pediatria Medica e Chirurgica: Vol. 35 No. 5 (2013)
- M. Gasparella, M. Ferro, M. Marzaro, C. Benetton, C. Zanatta, F. Zoppellaro, Acute abdomen in children: a continuous challenge. Two cases report: Meckel’s Diverticulum with Small Bowel Volvolus and Internal Herniation related to Epiploic Appendagitis mimicking acute appendicitis , La Pediatria Medica e Chirurgica: Vol. 36 No. 2 (2014)
- G. Cecchetto, P. Dall’Igna, C. Dalle Nogare, P. Gasparella, G.F. Zanon, Acute splenic torsion in children: which is the best treatment? A case report , La Pediatria Medica e Chirurgica: Vol. 34 No. 3 (2012)
- Mirko Bertozzi, Laura Marchesini, Simonetta Tesoro, Antonino Appignani, Laparoscopic herniorrhaphy in children , La Pediatria Medica e Chirurgica: Vol. 37 No. 2 (2015)
- M. Lima, F. Molinaro, G. Ruggeri, T. Gargano, B. Randi, Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years , La Pediatria Medica e Chirurgica: Vol. 34 No. 5 (2012)
You may also start an advanced similarity search for this article.