Torsion of vermiform appendix with fecalith: a case report

Abstract

Introduction: Torsion of the vermiform appendix is a rare disorder, which causes abdominal symptoms indistinguishable from acute appendicitis and is found by chance during the laparotomy.

Case presentation: We report a case (a 76-year-old male) suffering of torsion of the vermiform appendix with fecalith. It was twisted 540 degrees in an anti-clockwise direction. Appendectomy was done.

Conclusion: Appendiceal torsion may be assocated with the presence of fecalith. This case is the oldest one among the patients with appendiceal torsion reported to literature.

Figure 1

The appendix was twisted 540° in an anti-clockwise direction at the point of 1 cm distal to its base.

Figure 2

Histopathological examination of specimen showing mild inflammation, prominent congestion of mucosal and submucosal vascular channels and intraluminal haemorrhage within appendix.