Torsion of the appendix mimicking ovarian torsion

Chadwick Bowling, Gary H. Lipscomb

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND: Appendiceal torsion is rare and generally seen more frequently in children than adults. Untreated it can lead to necrosis, ulceration, and subsequent peritonitis. CASE: A middle-aged female presented with a 5-day history of cramping abdominal pain and nausea and vomiting. Abdominal wall guarding and rebound tenderness was noted on examination. Computerized tomography showed an 8 x 4 cm mass anterior to the uterus, suggestive of degenerating fibroid versus ovarian dermoid cyst. Laparoscopy was performed for presumed ovarian torsion. Torsion of the appendix was discovered and treated by laparoscopic appendectomy. CONCLUSION: Patients with presumed ovarian torsion should undergo urgent laparoscopy for diagnosis and attempted ovarian salvage. The possibility of conditions that may require different surgical interventions, such as appendiceal torsion, should be considered.

Original languageEnglish (US)
Pages (from-to)466-467
Number of pages2
JournalObstetrics and Gynecology
Volume107
Issue number2 II
DOIs
StatePublished - Feb 1 2006

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Laparoscopy
Appendectomy
Leiomyoma
Abdominal Wall
Peritonitis
Nausea
Abdominal Pain
Uterus
Vomiting
Necrosis
Tomography
Ovarian Teratoma

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Torsion of the appendix mimicking ovarian torsion. / Bowling, Chadwick; Lipscomb, Gary H.

In: Obstetrics and Gynecology, Vol. 107, No. 2 II, 01.02.2006, p. 466-467.

Research output: Contribution to journalArticle

Bowling, Chadwick ; Lipscomb, Gary H. / Torsion of the appendix mimicking ovarian torsion. In: Obstetrics and Gynecology. 2006 ; Vol. 107, No. 2 II. pp. 466-467.
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