Objectives: We report a case of a 40-year-old female patient admitted to our department with abdominal pain in the right lower quadrant associated with abdominal tenderness, leukocytosis, and elevated inflammatory markers. She was observed in the hospital with similar symptoms in the past with successful medical treatment. The current literature is also reviewed. Methods: The abdominal ultrasound failed to visualize the appendix. However, the CT scans revealed that the appendix was located deep in the pelvis with an atypical, irregular, thickened wall with pericaecal fluid. Laparoscopic appendectomy was completed. The specimen showed features of diverticulitis of the appendix, as also proved histopathologically. We describe the successful surgical treatment of a rare pathology imitating acute appendicitis, providing reassurance about the effective management of appendiceal diverticulitis. Results: The postoperative course was uneventful, and the patient was discharged on the second postoperative day in optimal clinical conditions. Conclusion: Diverticulitis of the appendix is an uncommon cause of pain in the right lower quadrant. Understanding its clinical behavior is essential for managing it, whether it presents symptomatically or is an incidental finding.

Background/Objectives: Keratitis–ichthyosis–deafness (KID) syndrome is an exceptionally rare congenital multisystem disorder, with an estimated prevalence below 1:1,000,000 and fewer than 100 reported cases worldwide. It is characterized by hyperkeratosis, alopecia, nail dystrophy, hearing loss, and ocular involvement. While dermatological management is well described, surgical experience with wound treatment in KID syndrome remains extremely limited. The objective of this report is to describe the surgical management and outcomes of a patient with chronic lower-limb wounds associated with KID syndrome. Methods: A 35-year-old male with KID syndrome was referred to the surgical outpatient clinic for chronic traumatic wounds of both lower limbs resistant to conservative dermatological therapy. Initial outpatient treatment included serial sharp surgical debridement under local anesthesia, combined with topical keratolytics and silver sulfadiazine with hyaluronic acid. Due to minimal improvement after three months, an inpatient surgical approach was initiated, involving complete excision of hyperkeratotic tissue, creation of a wide ulcer bed, and adjunct systemic and topical therapies. Results: The inpatient management enabled thorough removal of pathological tissue and better control of local infection and inflammation. Combined systemic antibiotic and antipsoriatic therapy, together with topical sodium hyaluronate and iodine, was associated with gradual wound healing and improved skin condition. The patient tolerated the procedures well, without major complications. Conclusions: Surgical debridement and excision, when combined with targeted dermatological and antimicrobial therapy, can be an effective and safe strategy for managing chronic wounds in KID syndrome. This case highlights the importance of multidisciplinary collaboration and individualized surgical planning in this extremely rare disorder.

Introduction: We present the case of an 18-year-old male admitted to the emergency department after a high-speed motor vehicle collision. The patient showed signs of possible chest and abdominal trauma. This manuscript details his clinical course and management, along with a review of the literature on mesenteric root hematoma. Case Presentation: Upon admission, the patient was conscious with stable vital signs. A polytrauma CT scan revealed cervical and thoracic spine fractures, a splenic laceration, and significant intra-abdominal hematomas, including one involving the mesenteric root. He underwent urgent laparotomy due to high suspicion of associated hollow viscus injury and significant hemoperitoneum. Procedures included a splenectomy for a massive splenic rupture, an omentectomy due to devitalized omental lacerations and suturing of mesenteric lacerations. The mesenteric root hematoma was managed with intraoperative non-exploration and temporary packing. Results: The patient’s postoperative course was uneventful. He remained hemodynamically stable, maintained normal hemoglobin levels, and showed no signs of infection. He was discharged in good condition on the eighth postoperative day, with no abdominal pain, bowel dysfunction, or wound complications. Conclusion: This case highlights the complexity of decision-making in polytrauma patients with associated mesenteric injuries. It emphasizes the importance of balancing the risks of surgery against the potential benefits of conservative management in cases of mesenteric hematoma. The positive outcome underscores the value of sound clinical judgment and comprehensive supportive care in trauma settings.