Appendicitis as a rare cause of mechanical small-bowel obstruction: A literature review of case reports

Malý, Ondřej; Páral, Jiří

doi:10.1016/j.ijscr.2016.10.065

Cited by 14 publications

(18 citation statements)

References 10 publications

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“…With closed loop obstruction, the inflamed appendix wraps around the last loop of the ileum (Fig. 5d ); the inflаmed tip of the аppendix аdheres to the posterior peritoneum or the root of the аppendix [ 2 , 12 , 13 ], or herniation of intestine occurs through a gap formed by the appendix tip being attached to its base [ 14 ], and this might lead to necrosis [ 7 , 8 , 15 ]. The mechanism and morphology of bowel obstruction relate to the position, mobility, and length of the appendix; an inflamed appendix might adhere to the other surrounding structures, such as the ileum, the mesentery of the ileum, the caecum, and/or the colon, the posterior peritoneum, or right tubo-ovarian complex [ 4 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the case of SBO caused by acute appendicitis, CT is an additional examination helpful for diagnosis and prognosis [ 12 , 15 ], with enhancement of the dilated small bowel wall and intra-abdominal fluid. However, the role of CT in detecting appendicitis is also case-by-case; often, it is not found due to the inflamed appendix being wrapped around the ileum [ 11 , 12 , 13 , 15 ]. It may be seen in enlarged purulent appendicitis [ 3 ], as in our case.…”

Section: Discussionmentioning

confidence: 99%

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Intestinal Obstruction due to Acute Appendicitis

Đức

Xuan

Thuyet

et al. 2020

Case Rep Gastroenterol

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Acute appendicitis has been proven to be a usual cause of mechanical small bowel obstruction since 1901, but there has been very little specific research on this subject. It usually occurs as an effect of adhesion because of periappendicular inflammation. Although previous studies exist, this presentation of acute appendicitis is not widely identified, which might lead to delays in making the right diagnosis and initiating treatment. We herein report a 17-year-old male patient who presented with the clinical manifestations of intestinal obstruction and fever for 3 days. Preoperative ultrasound and subsequent computed tomography were performed. On laparotomy, an obstructed bowel was seen, and the appendix was recognized to be the cause. We herein report a case of intestinal obstruction due to acute appendicitis and present an overview of the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction due to Acute Appendicitis

Đức

Xuan

Thuyet

et al. 2020

Case Rep Gastroenterol

View full text Add to dashboard Cite

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“…When the appendix causes obstruction, it mostly occurs as a result of complication of the acute appendicitis in the form of ileus (secondary to peri-appendiceal inflammation or as part of generalized peritonitis) or trapped in an appendiceal mass [6]. The appendix can also cause obstruction by forming a knot with the ileum(AIK) [5].…”

Section: Discussionmentioning

confidence: 99%

“…But, all forms of intestinal knots are extremely rare during pregnancy. In AIK the distal ileum is entrapped by knot of the appendix which encircles the distal ileum resulting closed-loop obstruction [1, 3–5]. The vermiform appendix or an inflamed appendix as a cause of intestinal obstruction in pregnancy is exceedingly rare that we didn’t find a report in literature.…”

Section: Introductionmentioning

confidence: 99%

Appendiculo-ileal knot presenting at the third trimester of pregnancy

Abebe

Tsehay

Lemu

et al. 2019

Journal of Surgical Case Reports

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Though appendicitis is the most common cause of acute abdomen, the vermiform appendix as a cause of small bowel obstruction is a rarity. The inflamed appendix can cause obstruction by making a knot around the small bowel. There are only few case reports on Appendico-ileal knotting (AIK). We have not found any report on AIK causing small bowel obstruction during pregnancy. The diagnosis of acute abdomen in pregnancy is difficult due to the accompanying anatomic and physiologic changes. Because obstruction due to AIK present like any other cause of obstruction diagnosing the condition pre-operatively is uncommon. Here, we report 30 years old Gravida 9, Para 8 women who presented with cardinal symptoms of small bowel obstruction at term and found to have AIK intra-operatively. The challenge of difficulty in making the diagnosis and management options are discussed

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“…In a literature review by Ondrej and Jiri,4 only 17 cases from the period of 1963 to 2015 were found in which appendix was obstructing by knotting around the bowel loop. Out of these, seven patients were treated by simple appendectomy as there was no gangrene.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of an unusual case of small bowel obstruction: appendiculoileal knotting

et al. 2018

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Appendicitis presenting at small bowel obstruction due to the formation of encircling loop around a bowel segment is a rare occurrence. We report such case managed with the laparoscopic approach. A 45-year-old woman presented to emergency services with severe pain in abdomen and bilious vomiting in the past 2 days, having a history of abdominal hysterectomy 10 years ago. The abdominal examination was suggestive of bowel obstruction. A CT showed dilated bowel loops with complete cut-off at the level of the terminal ileum. The patient was taken for diagnostic laparoscopy. The inspection of the small bowel revealed an appendicular looping around the small bowel lumen. After separating, the appendix obstruction was relieved. Then, the tip of the appendix was dissected free from the parietal wall along with approximately 5 mL purulent fluid. Appendectomy was completed and based looped doubly using catgut endoloop. The patient had an uneventful recovery and was discharged on the second postoperative day.

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Appendicitis as a rare cause of mechanical small-bowel obstruction: A literature review of case reports

Cited by 14 publications

References 10 publications

Intestinal Obstruction due to Acute Appendicitis

Intestinal Obstruction due to Acute Appendicitis

Appendiculo-ileal knot presenting at the third trimester of pregnancy

Laparoscopic management of an unusual case of small bowel obstruction: appendiculoileal knotting

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