Volume 21, Issue 121 (7-2014)                   RJMS 2014, 21(121): 63-66 | Back to browse issues page

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Alizadeh Otaghoor H, Hoseini M, Tizmaghz A, Shabestanipour G, Jamali Hajiani E. Mechanical small bowel obstruction after gangrenous appendicitis. RJMS. 2014; 21 (121) :63-66
URL: http://rjms.iums.ac.ir/article-1-3229-en.html
Abstract:   (3669 Views)

  Background : Mechanical obstruction is the most common surgical disease of the small intestine , which can be potentially fatal . However appendicitis is very rare cause of intestinal obstruction and is usually . In rare cases of appendicitis, symptoms of small intestine obstruction can be more predominant than the appendicitis symptoms . This may lead to delayed diagnosis of appendicitis and further complications such as intestinal strangulation appendix perforation .

  Methods : A 20 -year-old male patient , presented with bowel obstruction symptoms since 5-day ago. There was all mechanical bowel obstruction symptoms include frequent nausea and vomiting , severe abdominal distention , fever and inability to gas or stool pass there. Serial abdominal X-rays showed multiple air -fluid levels and CT scan was demonstrating obstruction at terminal ileum and cecum . In Laparotomy with midline incision , there was severe dilation of the small intestine caused by pressure effect on bowel wall due to gangrenous appendicitis after appendectomy , all symptoms was relieved

  Conclusion : Early diagnosis and intervention is very important in strangulation of bowel. Whenever features of intestinal obstruction predominate, we should think about appendicitis as a rare cause of obstruction. Especially in cases with elevation in markers of inflammation.

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Type of Study: case report | Subject: General Surgery

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