Case Report
Appendicitis Secondary to Trauma following a Camel Kick: Case
Report and Review of Literature
Ali Toffaha,
1
Omer Al-Yahri,
2
Zainab Hijawi,
3
Saif Al-Mudares,
2
Mohannad Al-Tarakji ,
2
Fakhar Shahid ,
1
and Syed Muhammad Ali
2
1
Department of General Surgery, Hamad Medical Corporation, Doha, Qatar
2
Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar
3
Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar
Correspondence should be addressed to Syed Muhammad Ali; alismc2051@gmail.com
Received 22 November 2020; Revised 19 December 2020; Accepted 30 December 2020; Published 7 January 2021
Academic Editor: Muthukumaran Rangarajan
Copyright © 2021 Ali Toffaha et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction. Independently, trauma and appendicitis are two of the most common conditions in surgical practice. Rarely, both
conditions may coexist, which raises the controversy whether it is merely a coincidence or trauma may lead to acute
appendicitis. Presentation of Case. We report a case of acute appendicitis after blunt abdominal trauma caused by a camel hoof
kick to the abdomen in a young man and discuss the potential underlying pathophysiologic mechanisms with review of the
pertinent literature. Conclusions. Blunt abdominal trauma caused by a camel kick to the abdomen requires a close observation of
the patients. A camel kick may increase intra-abdominal pressure and cause internal organ injury including the appendix.
Therefore, acute appendicitis should be considered in differential diagnosis in any patient with abdominal pain resembling
appendicitis following blunt abdominal trauma.
1. Introduction
Appendicitis is one of the most common surgical conditions
affecting about 7% of people during their lifetime [1]. The eti-
ology of acute appendicitis is multifactorial, with luminal
obstruction being considered the major cause [1]. Blunt
abdominal trauma (BAT) has been infrequently reported as
a possible cause for acute appendicitis; however, most of
the reported cases were in pediatric age group (Table 1).
Herein, we report a rare case of acute appendicitis after blunt
abdominal trauma caused by a camel hoof kick to the
abdomen.
2. Case Presentation
A 35-year-old Bangladeshi man presented to the emergency
department at Hamad Medical Corporation, Doha, Qatar,
with two-day history of progressive right lower abdominal
pain, associated with four times vomiting and loss of appetite.
He was doing completely well but developed these symptoms
few hours after a strong direct camel kick on his right abdo-
men. He did not have any urological symptoms, nor any
comorbidities, and his systemic review was unremarkable.
The patient was conscious and had normal vital signs.
Generally, was looking well, abdominal examination showed
a right lower abdominal bruise, tenderness, rebound tender-
ness, and involuntary guarding in the right iliac fossa. Head
to toe examination showed no other signs of trauma. Labora-
tory tests showed high inflammatory markers (white blood
cell count (WBC) 15.5 K/μL, hemoglobin 15.3 g/dL, platelets
207 K/μL, CRP: 90.5, and bilirubin: 29.1). CT abdomen with
IV and oral contrast was done and showed a dilated appendix
in the right iliac fossa (16 mm in diameter), with wall
enhancement and periappendiceal fat stranding (Figure 1).
The patient was diagnosed with acute appendicitis, and an
emergency laparoscopic appendectomy was performed.
Intraoperative findings showed grossly inflamed appendix
with fibrinous exudate with no collection or perforation
(Figure 2), and the inspected other intra-abdominal solid
and hollow organs were normal. Postoperatively, the patient
recovered well and was discharged one day after surgery. On
follow-up 2 weeks in the clinic, he was completely healthy,
Hindawi
Case Reports in Surgery
Volume 2021, Article ID 6667873, 6 pages
https://doi.org/10.1155/2021/6667873