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

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 elderl...

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Autores principales: Najm, Alfred, Bejenaru, Irina M, Manolescu, Stefania L, Iliescu, Ramona, Cretoiu, Sanda Maria, Gaspar, Bogdan S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10105286/
https://www.ncbi.nlm.nih.gov/pubmed/37069883
http://dx.doi.org/10.7759/cureus.36213
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author Najm, Alfred
Bejenaru, Irina M
Manolescu, Stefania L
Iliescu, Ramona
Cretoiu, Sanda Maria
Gaspar, Bogdan S
author_facet Najm, Alfred
Bejenaru, Irina M
Manolescu, Stefania L
Iliescu, Ramona
Cretoiu, Sanda Maria
Gaspar, Bogdan S
author_sort Najm, Alfred
collection PubMed
description 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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spelling pubmed-101052862023-04-16 An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review Najm, Alfred Bejenaru, Irina M Manolescu, Stefania L Iliescu, Ramona Cretoiu, Sanda Maria Gaspar, Bogdan S Cureus General Surgery 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. Cureus 2023-03-16 /pmc/articles/PMC10105286/ /pubmed/37069883 http://dx.doi.org/10.7759/cureus.36213 Text en Copyright © 2023, Najm et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Najm, Alfred
Bejenaru, Irina M
Manolescu, Stefania L
Iliescu, Ramona
Cretoiu, Sanda Maria
Gaspar, Bogdan S
An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review
title An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review
title_full An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review
title_fullStr An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review
title_full_unstemmed An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review
title_short An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review
title_sort occlusive form of acute gangrenous appendicitis with periappendicular abscess in an elderly patient: a case report and literature review
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10105286/
https://www.ncbi.nlm.nih.gov/pubmed/37069883
http://dx.doi.org/10.7759/cureus.36213
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