Abstract
Inflammation of the appendix is a common cause of acute abdominal pain. The etiology and pathophysiology of appendicitis have been well described. The initiating factor often is obstruction of the appendiceal lumen by inspissated stool, barium, food, parasites, or hyperplastic lymphoid tissue. Two patients have been identified who developed appendicitis temporally related to blunt abdominal trauma, without other clear etiology. Although absolute documentation of trauma as an etiologic factor in these cases is difficult, theoretical mechanisms for the occurrence are discussed. In the setting of right lower quadrant pain following mild to moderate blunt abdominal trauma, acute appendicitis should be considered as a possibility.
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Selected References
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- Burkitt D. P. The aetiology of appendicitis. Br J Surg. 1971 Sep;58(9):695–699. doi: 10.1002/bjs.1800580916. [DOI] [PubMed] [Google Scholar]
- MANIZADE D., TANKER M. [On the occurrence of symptoms resembling cases of acute appendicitis after severe abdominal injury]. Tip Fak Mecm. 1961;24:650–658. [PubMed] [Google Scholar]
- Pieper R., Kager L., Tidefeldt U. Obstruction of appendix vermiformis causing acute appendicitis. An experimental study in the rabbit. Acta Chir Scand. 1982;148(1):63–72. [PubMed] [Google Scholar]
- SALA L. L'APPENDICITE POST-TRAUMATICA. Arch Sci Med (Torino) 1964 May;117:254–257. [PubMed] [Google Scholar]
- Wangensteen O. H., Buirge R. E., Dennis C., Ritchie W. P. STUDIES IN THE ETIOLOGY OF ACUTE APPENDICITIS: THE SIGNIFICANCE OF THE STRUCTURE AND FUNCTION OF THE VERMIFORM APPENDIX IN THE GENESIS OF APPENDICITIS A PRELIMINARY REPORT. Ann Surg. 1937 Nov;106(5):910–942. doi: 10.1097/00000658-193711000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wangensteen O. H., Dennis C. EXPERIMENTAL PROOF OF THE OBSTRUCTIVE ORIGIN OF APPENDICITIS IN MAN. Ann Surg. 1939 Oct;110(4):629–647. doi: 10.1097/00000658-193910000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]