Torsion of vermiform appendix with fecalith: a case report

Imtiaz Wani¹ , Maki Kitagawa² , Mudasir Rather¹ , Jang Singh³ , Gulam Bhat¹ and Mir Nazir¹

¹Department of Surgery, S.M.H.S Hospital, Srinagar, India

²Department of Surgery, Shakaihoken Kobe Central Hospital, Kobe, Japan

³Department of Pathology, S.M.H.S Hospital, Srinagar, India

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Cases Journal 2008, 1:20doi:10.1186/1757-1626-1-20


Published:	23 June 2008

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.