Published: June 2007

Secondary Torsion of Vermiform Appendix with Mucinous Cystadenoma
Maki Kitagawa^a, Tatsuya Kotani^a, Takeshi Yamano^b, Hideaki Tsurudome^a, Tomoya Hatakeyama^a, Yoshiaki Kuriu^a, Hiroshi Nishi^a, Masaharu Yabe^a

Departments of
^aSurgery and
^bPathology, Saiseikai Kyoto Hospital, Nagaokakyo, Kyoto, Japan

Address of Corresponding Author

Case Rep Gastroenterol 2007;1:32-37 (DOI: 10.1159/000104679)

  Key Words

• Torsion
• Appendix
• Mucinous cystadenoma

  Abstract

Torsion of the vermiform appendix is a rare disorder, which causes abdominal symptoms indistinguishable from acute appendicitis. We report a case (a 34-year-old male) of secondary torsion of the vermiform appendix with mucinous cystadenoma. This case was characterized by mild inflammatory responses, pentazocine-resistant abdominal pain, and appendiceal tumor, which was not enhanced by the contrast medium on computed tomography presumably because of reduced blood flow by the torsion. These findings may be helpful for the preoperative diagnosis of secondary appendiceal torsion.

Copyright © 2007 S. Karger AG, Basel

  Author Contacts

M. Kitagawa, MD
Department of Surgery, Saiseikai Kyoto Hospital
Minamihirao, Imasato, Nagaokakyo, Kyoto 617-0814 (Japan)
Tel. +81 6 6645 3715, Fax +81 6 6645 3716
E-Mail kitagawas@med.osaka-cu.ac.jp

  Article Information

Published online: June 26, 2007
Number of Print Pages : 6
Number of Figures : 1, Number of Tables : 1, Number of References : 14