TY - JOUR JF - RJMS JO - RJMS VL - 21 IS - 121 PY - 2014 Y1 - 2014/7/01 TI - Mechanical small bowel obstruction after gangrenous appendicitis TT - گزارش یک مورد انسداد مکانیکی روده به دنبال آپاندیسیت گانگرنه N2 - 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. SP - 63 EP - 66 AU - Alizadeh Otaghoor, Hamidreza AU - Hoseini, Mostafa AU - Tizmaghz, Adnan AU - Shabestanipour, Ghazal AU - Jamali Hajiani, Ehsan AD - KW - Mechanical obstruction KW - Gangrenous appendicitis KW - Inflammatory symptoms. UR - http://rjms.iums.ac.ir/article-1-3229-en.html ER -