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Torsion of the vermiform appendix

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<mark>Journal publication date</mark>5/10/2012
<mark>Journal</mark>British Journal of Surgery
Publication StatusPublished
<mark>Original language</mark>English

Abstract

A 12-year-old boy with a history of intermittent right iliac fossa pain presented with an acute severe exacerbation. This was associated with a low grade pyrexia, raised inflammatorymarkers and evidence of localized peritonitis. At open appendicectomy it was discovered that a 6·5 cm appendix containing a large faecolith had torted and become necrotic. This was untwisted to reveal a narrow base but otherwise normal anatomy. Following appendicectomy, the base of the appendix was burried into the caecum, and the patient was discharged two days later. Appendicular torsion is a rare cause of both intermittent pain and indeed acute appendicitis.