Özet:

Acute appendicitis and trauma are commonly seen surgical emergencies. Whether or not the trauma is a cause of appendicitis has been subject to discussions for many years. A 36-year-old male patient presented to our clinic complaining about pain in his right lower abdomen, vomiting and lack of bowel movement. His anamnesis revealed that he fell off a bicycle and had a stroke on his right lower abdominal quadrant from the handlebar of the bicycle approximately 13-14 hours ago. In physical examination, there were tenderness to palpation, guarding and rebound tenderness in right lower abdominal quadrant. Laboratory tests showed that hemoglobin was 12.6 g/dL and leukocyte 21.600/mm3. In abdominal ultrasound, the diameter of appendix was measured to be 10 mm and an increased density and edema were found in appendiceal mesentery and periappendiceal adipose tissue. Abdominal tomography showed that the diameter of appendix was 11 mm. The patient was urgently operated. During the exploration, intense hematoma was seen in the root, wall and mesentery of the edematous appendix. A resection of the mesoappendix with hematoma was included in appendectomy. After the pathological examination of the removed specimen, the case was reported to be an acute gangrenous appendicitis. The patient was asymptomatic after his 6-month follow-up. Although rarely, acute appendicitis may be develop after a serious blunt abdominal trauma. Clinicians should absolutely suspect acute appendicitis especially in cases with right lower quadrant pain and tenderness following a blunt abdominal trauma for early management and an uneventful postoperative course.

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