Recurrent Appendicitis: Torsion Detorsion of the Appendix

Abstract

By definition, recurrent appendicitis is recurring right lower quadrant pain, similar to previous attacks of pain subsiding after appendectomy. The pathophysiology of recurrent appendicitis is unclear; however, it is thought to be due to the partial or transient obstruction of the appendix. We believe that primary torsion and spontaneous detorsion of the vermiform appendix is one of the etiologies for recurrent appendicitis, which to our knowledge has not been previously described in the medical literature. Herein, we present a case of a 30-year-old male patient with recurrent appendicitis due to primary torsion and spontaneous detorsion of the vermiform appendix treated by laparoscopic appendectomy.

Keywords

• appendix
• recurrent appendicitis
• torsion appendix