A 33-year-old male with a 48-hour history of diffuse abdominal pain, with nausea, vomiting and no voiding symptoms.
The patient had a history of recurrent chest trauma 10 months prior.
She was febrile in the emergency room (38.5oC).
Physical examination revealed right iliac fossa pain with defense.
Laboratory tests showed leukocytosis of 26.400/mm3 with left shift.
Abdominal ultrasound showed a crushed area in cecum, with a thickened connective remnant and free fluid in the right parietocholic.
It was decided to perform an exploratory laparotomy by means of a Mc Burney incision.
A 1.5 cm pericecal plastron was identified over a 1.5 cm tonsillar stump with signs of authentic arthritis; resection, invagination of the stump and washing were performed.
He was treated with antibiotics -ceftriaxone plus metronidazole - and discharged on the sixth day without postoperative complications.
