{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:21:37Z","timestamp":1783581697188,"version":"3.55.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:p>Acute appendicitis is a leading cause of acute abdomen, yet its onset after blunt trauma remains exceedingly rare and diagnostically challenging \u2013 particularly in the elderly and in patients with concurrent neurological injuries. We present the case of a 65-year-old woman who developed acute appendicitis following a motor vehicle collision that also caused thoracic spinal fractures with canal involvement. Initially hemodynamically stable with a normal abdominal examination and a negative focused assessment with sonography for trauma, she developed right lower quadrant pain 22 h posttrauma, which localized and intensified by 56 h. Contrast-enhanced computed tomography (CT) at 59 h revealed an 8-mm inflamed appendix with periappendiceal fat stranding, and open appendectomy at 61 h confirmed acute appendicitis with fibrous obliteration. The patient\u2019s recovery was uneventful. This case underscores how concurrent spinal injury and immobilization can obscure evolving abdominal pathology, emphasizing the importance of repeated clinical assessment and timely CT imaging in elderly polytrauma patients. In addition to the case presentation, we conducted a comprehensive literature review of all reported cases of posttraumatic appendicitis, summarizing demographic, clinical, and diagnostic patterns to contextualize this rare phenomenon. Together, these findings reinforce the need for heightened diagnostic vigilance and multidisciplinary coordination when evaluating delayed abdominal pain in trauma patients with neurological compromise.<\/jats:p>","DOI":"10.4103\/tjem.tjem_327_25","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:01:55Z","timestamp":1783580515000},"page":"256-261","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A literature review and case report: Traumatic appendicitis in an elderly patient with spinal cord injury and medical comorbidities"],"prefix":"10.4103","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7336-3642","authenticated-orcid":false,"given":"Sarah","family":"Khosropanah","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0293-7641","authenticated-orcid":false,"given":"Mohsen","family":"Rahmanian","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6986-1181","authenticated-orcid":false,"given":"Mohammad","family":"Ashrafazimi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, School of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6990-3863","authenticated-orcid":false,"given":"Amir Rahmanian Sharif","family":"Abad","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"R1-20260709","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s10140-022-02021-9","article-title":"Diagnostic accuracy of ultrasound in diagnosing acute appendicitis in pregnancy: A systematic review and meta-analysis","volume":"29","author":"Moghadam","year":"2022","journal-title":"Emerg Radiol"},{"key":"R2-20260709","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/S0140-6736(15)00275-5","article-title":"Acute appendicitis: Modern understanding of pathogenesis, diagnosis, and management","volume":"386","author":"Bhangu","year":"2015","journal-title":"Lancet"},{"key":"R3-20260709","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1308\/003588410X12664192075936","article-title":"Systematic review of blunt abdominal trauma as a cause of acute appendicitis","volume":"92","author":"Toumi","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"key":"R4-20260709","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.radcr.2022.10.088","article-title":"Acute appendicitis after closed abdominal trauma: A case report","volume":"18","author":"Salinas-Castro","year":"2023","journal-title":"Radiol Case Rep"},{"key":"R5-20260709","doi-asserted-by":"crossref","first-page":"371","DOI":"10.4103\/MJDRDYPU.MJDRDYPU_136_17","article-title":"Blunt trauma abdomen-induced jejunal perforation with appendicitis","volume":"11","author":"Singh","year":"2018","journal-title":"Med J D Y Patil Vidyapeeth"},{"key":"R6-20260709","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1097\/00000658-193804000-00007","article-title":"The rare incidence of acute appendicitis resulting from external trauma","volume":"107","author":"Fowler","year":"1938","journal-title":"Ann Surg"},{"key":"R7-20260709","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1136\/emj.2004.018895","article-title":"The effect of blunt abdominal trauma on appendix vermiformis","volume":"22","author":"Etensel","year":"2005","journal-title":"Emerg Med J"},{"key":"R8-20260709","first-page":"37","article-title":"Appendicitis following blunt abdominal trauma: An illustrative case","volume":"105","author":"Goldman","year":"2022","journal-title":"R I Med J (2013)"},{"key":"R9-20260709","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00000658-199107000-00010","article-title":"Acute appendicitis following blunt abdominal trauma. 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A literature review","volume":"4","author":"Shuaib","year":"2020","journal-title":"Int J Surg Sci"},{"key":"R11-20260709","doi-asserted-by":"crossref","first-page":"632.e5","DOI":"10.1016\/j.ajem.2008.09.014","article-title":"Posttraumatic appendicitis: Further extending the extended focused assessment with sonography in trauma examination","volume":"27","author":"Derr","year":"2009","journal-title":"Am J Emerg Med"},{"key":"R12-20260709","first-page":"rjae761","article-title":"A case of post-traumatic acute appendicitis: Uncommon consequence of blunt abdominal trauma","author":"Alabdulaaly","year":"2024","journal-title":"J Surg Case Rep 2024"},{"key":"R13-20260709","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/00004836-200009000-00023","article-title":"Seat belt compression appendicitis","volume":"31","author":"Takagi","year":"2000","journal-title":"J Clin Gastroenterol"},{"key":"R14-20260709","doi-asserted-by":"crossref","first-page":"16","DOI":"10.24184\/tip.2021.6.1.16","article-title":"Incidental appendicitis in a blunt trauma patient: A case report","volume":"6","author":"Lee","year":"2021","journal-title":"Trauma Image Proced"},{"key":"R15-20260709","first-page":"86","article-title":"The Houdini effect \u2013 An unusual case of blunt abdominal trauma resulting in perforative appendicitis","volume":"105","author":"O'Kelly","year":"2012","journal-title":"Ir Med J"},{"key":"R16-20260709","first-page":"8245046","article-title":"Seat belt compression appendicitis following motor vehicle collision","author":"Khilji","year":"2017","journal-title":"Case Rep Emerg Med 2017"},{"key":"R17-20260709","first-page":"e61839","article-title":"Retrocecal appendicitis post-blunt abdominal trauma: A case report","volume":"16","author":"Jaramillo","year":"2024","journal-title":"Cureus"},{"key":"R18-20260709","first-page":"342","article-title":"Traumatic acute appendicitis: A case report","volume":"33","author":"Karapolat","year":"2018","journal-title":"Medeniyet Med J"},{"key":"R19-20260709","doi-asserted-by":"crossref","first-page":"293","DOI":"10.18203\/2349-2902.isj20230268","article-title":"Perforated appendicitis after blunt abdominal trauma: A case report","volume":"10","author":"Yu","year":"2023","journal-title":"Int Surg J"},{"key":"R20-20260709","doi-asserted-by":"crossref","first-page":"rjae265","DOI":"10.1093\/jscr\/rjae265","article-title":"Traumatic appendicitis with mass formation, a rare case report","volume":"2024","author":"Shawasha","year":"2024","journal-title":"J Surg Case Rep"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/tjem.tjem_327_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:01:58Z","timestamp":1783580518000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/tjem.tjem_327_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/tjem.tjem_327_25","relation":{},"ISSN":["2452-2473","2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"},{"value":"2452-2473","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-08-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}