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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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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. |
format | Online Article Text |
id | pubmed-10105286 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
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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