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Acute appendicitis is the most common indication for emergency abdominal surgery worldwide. The risks and benefits of incidental appendectomy during other operations have been debated for over a century. There is no right answer to the question of whether or not to perform incidental appendectomy. Although there are only a few indications where it is explicitly recommended such as in gynecological surgery, malrotation, and Ladd's procedure, incidental appendectomy is cost-effective in selected patient groups, especially in the young, without an increase in morbidity and mortality. In this review, the literature on incidental appendectomy was assessed from several perspectives.

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In 1992, Kirsch et al [1] developed a vascular clipping system (VCS) model. The VCS was devised to implement vascular anastomosis with ease. It also takes less time in surgery alleviating pressure on the surgeon. In addition, the VCS has a better prognosis than the conventional suturing anastomosis system. These benefits have been shown experimentally, however, the clinical application of VCS is restricted until its safety and efficacy can be shown [2]. Treating kidney disease is crucial for the quality of life in patients with chronic kidney disease because if left untreated it can lead to various complications such as diabetes mellitus, azotemia, and hypertension. As the patients undergo repeated hemodialysis, long-term vascular access matters, and arteriovenous fistulas (AVF) are considered the best form for hemodialysis. As a vein meets an artery in an artificial manner, it becomes

Introduction: Intestinal obstruction associated with traumatic vertebral fracture is extremely rare. We report a case of obstructive small bowel injury caused by entrapment of the small intestine at the fracture site of the 5 th lumbar vertebra due to trauma. Case presentation: A 55-year-old man fell from a height of 4 m and visited the emergency room of a local hospital with complain of back pain. During the examination, a 5 th lumbar vertebral body fracture and left psoas muscle hematoma were observed, and the patient was admitted to the neurosurgery department for conservative treatment. The patient received conservative treatment for 2 days, but new symptoms of intestinal obstruction and fever occurred. A neurosurgeon at the hospital suspected duodenal perforation and transferred the patient to the regional trauma center for treatment. Our medical staff reviewed the patient’s symptoms and imaging data and decided to perform an emergency operation because of small bowel entrapment in the 5 th lumbar vertebrae fracture and perforation of the small intestine. We found that the small bowel, approximately 160 cm below the ligament of Treitz, was incarcerated at the 5 th lumbar vertebral fracture site. After careful manual reduction of the entrapment of the small intestine, a small bowel resection of 25 cm, including the injury site, was performed with anastomosis. Conclusion: If symptoms of intestinal obstruction are observed in patients with traumatic spinal injury, medical staff must consider the exceedingly rare possibility of bowel entrapment.