Educational Case: Acute Appendicitis

Breeding, Emily; Conran, Richard M.

doi:10.1177/2374289520926640

Cited by 1 publication

(1 citation statement)

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“…The clinical features of acute appendicitis are periumbilical abdominal pain that migrates to the right iliac fossa in McBurney's point, anorexia, nausea, fever, and right iliac fossa tenderness [ 4 ]. Association between these symptoms and neutrophilic leucocytosis and ultrasound examination showing an inflamed appendix is sufficient to make a clinically positive diagnosis using the Alvarado score [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review

Najm¹,

Bejenaru²,

Manolescu³

et al. 2023

Cureus

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Acute appendicitis represents one of the common causes of admission to the emergency department. In rare cases, patients with appendicitis can suffer complications such as intestinal obstruction. These particular cases of occlusive appendicitis with a periappendicular abscess usually occur in elderly patients and can develop in an aggressive form, nonetheless with a favorable evolution. We present a case of an 80-year-old male patient, reporting symptoms similar to an occlusive digestive pathology: abdominal pain, intestinal transit disorders, and fecal vomiting. A computerized tomography scan suggested a mechanical bowel obstruction. The patient had an exploratory laparotomy indication to find the cause of the obstruction. The peritoneal cavity inspection revealed an occlusive form of acute gangrenous appendicitis with a periappendicular abscess. An appendectomy was performed. In conclusion, as surgeons, we must always take into consideration that acute appendicitis can represent a cause of intestinal obstruction, especially in elderly patients.

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Section: Introductionmentioning

confidence: 99%