# Retrocecal Appendicitis Post-blunt Abdominal Trauma: A Case Report

## TL;DR

An 18-year-old woman developed rare retrocecal appendicitis after blunt abdominal trauma, highlighting the need for careful diagnosis and updated treatment strategies.

## Contribution

This case report highlights the rare occurrence of retrocecal appendicitis following blunt trauma and emphasizes evolving diagnostic and therapeutic approaches.

## Key findings

- Retrocecal appendicitis was confirmed via CT scan and surgically verified in a trauma patient.
- Blunt trauma can trigger appendicitis even without prior abdominal symptoms.
- Endoscopic retrograde appendicitis therapy is a potential alternative to surgery.

## Abstract

Appendicitis, characterized by inflammation and obstruction of the appendiceal lumen, is a common surgical emergency often attributed to various factors. We present the case of an 18-year-old female who developed retrocecal appendicitis following blunt abdominal trauma, a rare occurrence with significant diagnostic challenges. Initial symptoms mimicked upper abdominal trauma, evolving to classic signs of appendicitis within hours. Despite a negative pre-trauma history of abdominal pain, clinical evaluation led to a suspicion of appendicitis. Contrast-enhanced CT scan confirmed the thickening of the cecal appendix, prompting urgent surgical intervention. An open appendectomy revealed a congested retrocecal appendix, supporting the diagnosis. Our case underscores the importance of considering trauma as a potential trigger for appendicitis, especially in the absence of typical pre-trauma symptoms. Diagnostic criteria for post-trauma appendicitis are evolving, and we underscore a comprehensive clinical assessment alongside imaging modalities. While surgical management remains standard, newer approaches like endoscopic retrograde appendicitis therapy warrant exploration. Further research is essential to refine diagnostic and therapeutic strategies for this uncommon presentation, ensuring timely intervention and improved patient outcomes.