Traumatic appendicitis in minor blunt abdominal injury

Emerg Med Australas. 2012 Jun;24(3):343-6. doi: 10.1111/j.1742-6723.2012.01557.x.


Trauma has been reported as a cause of appendicitis on several cases in the literature. The present study reports the relationship between blunt abdominal trauma (BAT) of injury severity score less than 4 and appendicitis. A 17-year-old girl developed appendicitis after a minor BAT. An ecchymosis at the right lower quadrant misled the diagnosis, which was made 1 day later. Laparotomy revealed an inflamed appendix, a few enlarged mesenteric lymph nodes, contusion, as well as punctuated bleeding sites of the caecum. Moreover, based on a brief literature review, the different pathophysiological mechanisms and the difficulties of diagnosis of this entity are discussed. It is suggested that appendicitis should be considered as a possibility in the setting of right lower quadrant pain following minor BAT, when there is clinical suspicion of an inflammatory process within the right iliac fossa.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / complications*
  • Abdominal Pain / diagnosis
  • Adolescent
  • Appendicitis / etiology*
  • Female
  • Humans
  • Injury Severity Score
  • Laparotomy
  • Wounds, Nonpenetrating / complications*