Abstract

a) Aim To discuss the condition of a child patient with abdominal pain related to autoamputated appendix. b) Case Report A male patient at 12 has admitted to our clinic with abdominal pain and vomiting complaints lasting for two days. His white blood cell (WBC) count was 9,100 and C-reactive protein (CRP) level was 27,89. Although direct radiographs have reflected normal structure, there was a diffuse thickening on ileum and there was a peripheral fluid collection surrounding the caecal walls. The p atient w as h ospitalized. H is a bdominal p ain h as temporarily relieved but, he has undergone surgical intervention as his abdominal pain has exacerbatively recurred a t t he e nd o f d ay o ne. D uring intraoperative exploration, we have observed that the appendix was totally seperated from caecum and its mesenteric perfusion was partially deteriorated (Fig. 1). Appendectomy operation was performed without caecal s uturation ( Fig. 2 ) a nd o ur p atient w as discharged from hospital two days after the operation with total remission.