Autostrangulation of the vermiform appendix. An unusual mechanism of acute appendicitis.
A 23-year-old woman presented with acute appendicitis. At laparoscopy the appendix appeared to be strangulating itself. The pathologic evaluation demonstrated mucosal coagulation necrosis, confirming the early ischemic changes of the infarctive process visualized laparoscopically.
Frank
J L
JL
Department of Surgery, Baystate Medical Center, Springfield, MA 01199, USA.
Sabol
J
J
Drinkwater
D
D
Nash
S
S
D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001065:Appendix / Q000473:pathology; D002429:Cecal Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy