Volvulus of the appendix: a case report
Section snippets
Case report
A previously healthy 2-year-old boy presented to the hospital with 2 days of worsening abdominal pain and 3 episodes of vomiting. On physical examination, the child was febrile to 38.3°C, alert, and irritable with stable vital signs. The abdomen was firm, tender, and nondistended. Laboratory studies were normal except for leukocytosis of 19,000/mm3 with predominant neutrophils (76%). The patient was admitted to the hospital with a presumed diagnosis of perforated appendicitis. Abdominal
Discussion
A volvulus is a type of intestinal obstruction in which a portion of intestine is abnormally twisted on itself. Although there are many anomalies leading to intestinal rotation and fixation, these most often include acute and chronic midgut volvulus, acute and chronic duonenal obstruction secondary to bands, internal hernias, and cecal/sigmoid volvulus [1], [2]. Volvulus of the appendix represents an uncommon phenomenon [3]. A review of the Entrez PubMed literature documented that only 25 cases
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