Blunt abdominal trauma with handlebar injury: A rare cause of traumatic amputation of the appendix associated with acute appendicitis

Amanda Jensen, Reto Baertschiger, Jodi Hackworth, Fredrick Rescorla

Research output: Contribution to journalArticle

1 Scopus citations


We describe traumatic appendicitis in a 7-year-old boy who presented after sustaining blunt abdominal trauma to his right lower abdomen secondary to bicycle handlebar injury. With diffuse abdominal pain following injury, he was admitted for observation. Computed axial tomography (CT) obtained at an outside hospital demonstrated moderate stranding of the abdomen in the right lower quadrant. The CT was non-contrasted and therefore significant appendiceal distention could not be confirmed. However, there was a calcified structure in the right pelvis with trace amount of free fluid. Patient was observed with conservative management and over the course of 15 h his abdominal pain continued to intensify. With his worsening symptoms, we elected to take him for diagnostic laparoscopy. In the operating room we found an inflamed traumatically amputated appendix with the mesoappendix intact. We therefore proceeded with laparoscopic appendectomy. Pathology demonstrated acute appendicitis with fecalith. It was unclear as to whether the patient's appendicitis and perforation were secondary to fecalith obstruction, his blunt abdominal trauma or if they concurrently caused his appendicitis. Acute appendicitis is a common acute surgical condition in the pediatric population and continues to be a rare and unique cause of operative intervention in the trauma population.

Original languageEnglish (US)
Pages (from-to)13-15
Number of pages3
JournalJournal of Pediatric Surgery Case Reports
StatePublished - Apr 1 2016



  • Appendicitis
  • Blunt abdominal trauma
  • Handlebar injury
  • Intestinal trauma
  • Key words Traumatic appendicitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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