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Primary torsion of the appendix in a 10-year-old child
- Authors: Medinskiy P.V.1, Karaseva O.V.1,2, Nalbandyan R.T.1, Dvornikova M.A.1, Gromova A.A.1, Berezhnoy Y.Y.1, Rymar G.V.1, Kislyakov A.N.1,3
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Affiliations:
- Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
- National Medical Research Center for Children’s Health
- Morozovskaya Children’s City Clinical Hospital
- Issue: Vol 27, No 2 (2023)
- Pages: 119-123
- Section: CASE REPORT
- Submitted: 21.06.2023
- Accepted: 21.06.2023
- Published: 21.06.2023
- URL: https://jps-nmp.ru/jour/article/view/690
- DOI: https://doi.org/10.55308/1560-9510-2023-27-2-119-123
- ID: 690
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Abstract
Introduction. Torsion of the appendix is a rare pathology with unclear pathogenesis. The article describes clinical manifestations, diagnostics and surgical management of the distorted appendix in a child.
Observation. A 10-year-old boy was admitted to the hospital with pain in the right iliac region and repeated vomiting. During examination, acute appendicitis was diagnosed. At laparoscopy, appendix torsion was revealed; its detorsion and laparoscopic removal were performed. Intraoperatively, it was found out that the mesentery had narrow base , while the process length was about 7 cm; such a combination under developing inflammatory changes in the process could contribute to its torsion.
Conclusion. Torsion of the appendix in children has a clinical, laboratory and echographic picture of the destructive appendicitis. Laparoscopy allows to timely clarify the pathology nature and to timely perform appendectomy.
Keywords
About the authors
P. V. Medinskiy
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Author for correspondence.
Email: pavmed@yandex.ru
Pavel V. Medinskiy, MD
department of purulent surgery
119180
Moscow
РоссияO. V. Karaseva
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma; National Medical Research Center for Children’s Health
Email: fake@neicon.ru
119180
119296
Moscow
РоссияR. T. Nalbandyan
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180
Moscow
РоссияM. A. Dvornikova
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180
Moscow
РоссияA. A. Gromova
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180
Moscow
РоссияYu. Yu. Berezhnoy
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180
Moscow
РоссияG. V. Rymar
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180
Moscow
РоссияA. N. Kislyakov
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma; Morozovskaya Children’s City Clinical Hospital
Email: fake@neicon.ru
119180
119049
Moscow
РоссияReferences
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