Cargando…
Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report
Appendicitis is a common cause of pediatric abdominal pain, largely occurring in the second decade of life. We present the case of a 14-year-old girl who underwent an uncomplicated posterior spinal fusion with instrumentation for scoliosis, who later developed abdominal pain, nausea, and emesis seco...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318113/ https://www.ncbi.nlm.nih.gov/pubmed/30648057 http://dx.doi.org/10.7759/cureus.3522 |
_version_ | 1783384818241765376 |
---|---|
author | Aya, Kessiena L Yngve, David Charls, Richy M |
author_facet | Aya, Kessiena L Yngve, David Charls, Richy M |
author_sort | Aya, Kessiena L |
collection | PubMed |
description | Appendicitis is a common cause of pediatric abdominal pain, largely occurring in the second decade of life. We present the case of a 14-year-old girl who underwent an uncomplicated posterior spinal fusion with instrumentation for scoliosis, who later developed abdominal pain, nausea, and emesis secondary to acute appendicitis. Her hospital course was significant for prolonged intravenous use of narcotics for pain control and subsequent constipation but negative for abdominal pain or tenderness during her admission. While gastrointestinal complications are a common cause of unplanned 30-day readmissions in the pediatric population, appendicitis has yet to be reported. To our knowledge, this is the first case report of acute appendicitis after posterior spinal fusion, likely resulting from postoperative pain management. |
format | Online Article Text |
id | pubmed-6318113 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-63181132019-01-15 Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report Aya, Kessiena L Yngve, David Charls, Richy M Cureus Emergency Medicine Appendicitis is a common cause of pediatric abdominal pain, largely occurring in the second decade of life. We present the case of a 14-year-old girl who underwent an uncomplicated posterior spinal fusion with instrumentation for scoliosis, who later developed abdominal pain, nausea, and emesis secondary to acute appendicitis. Her hospital course was significant for prolonged intravenous use of narcotics for pain control and subsequent constipation but negative for abdominal pain or tenderness during her admission. While gastrointestinal complications are a common cause of unplanned 30-day readmissions in the pediatric population, appendicitis has yet to be reported. To our knowledge, this is the first case report of acute appendicitis after posterior spinal fusion, likely resulting from postoperative pain management. Cureus 2018-10-30 /pmc/articles/PMC6318113/ /pubmed/30648057 http://dx.doi.org/10.7759/cureus.3522 Text en Copyright © 2018, Aya et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Aya, Kessiena L Yngve, David Charls, Richy M Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report |
title | Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report |
title_full | Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report |
title_fullStr | Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report |
title_full_unstemmed | Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report |
title_short | Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report |
title_sort | acute appendicitis after spine fusion for adolescent idiopathic scoliosis: a case report |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318113/ https://www.ncbi.nlm.nih.gov/pubmed/30648057 http://dx.doi.org/10.7759/cureus.3522 |
work_keys_str_mv | AT ayakessienal acuteappendicitisafterspinefusionforadolescentidiopathicscoliosisacasereport AT yngvedavid acuteappendicitisafterspinefusionforadolescentidiopathicscoliosisacasereport AT charlsrichym acuteappendicitisafterspinefusionforadolescentidiopathicscoliosisacasereport |