Appendiceal knotting causing small bowel strangulation
نویسندگان
چکیده
Small bowel obstruction is a common cause of an emergency admission in the surgical wards. Acute appendicitis presenting with small bowel obstruction due to appendiceal knotting is a very rare and unsuspected condition in an emergency scenario. We report a case of acute small bowel obstruction in a 26-year-old male who, on exploration was found to have small bowel strangulation due to appendiceal knotting. Though rare, the possibilities of such a diagnosis should be kept in mind in patients with small bowel obstruction with no known identifiable etiology.
منابع مشابه
Strangulation of the appendix in a femoral hernia sac.
CASE 1. An 83 year old man presented with a 48 hr history of vomiting and constipation. He was pyrexial, the abdomen was distended, and a tender swelling was present in the medial aspect of the right groin, below the inguinal ligament. A diagnosis of incarcerated femoral hernia was made. Exploration through a McEvedy incision revealed strangulation and necrosis of a loop of small bowel and of t...
متن کاملCo-Incidence of Acute Appendicitis and Appendiceal Transection after Blunt Abdominal Trauma: A Case Report
A 13-year-old boy with a history of bicycle handlebar injury to the left side of his abdomen was brought to the Emergency Department of our center. On admission, his vital signs were stable and abdominal examination revealed ecchymosis and tenderness of the injured areas. Mild to moderate free fluid and two small foci of free air in the anterior aspect of the abdomen, in favor of pneumoperitone...
متن کاملMucinous cystadenoma of the appendix--an unusual cause of intestinal obstruction.
INTRODUCTION Report of a rare presentation of mucinous cystadenoma of the vermiform appendix. CLINICAL PICTURE A lady who presented with intestinal obstruction and peritonitis was found to have gangrenous small bowel caused by strangulation by a tumour of the appendix. TREATMENT Right hemicolectomy. OUTCOME The histology of the appendicular tumour was mucinous cystadenoma. The patient rec...
متن کاملStrangulation Caused by a Small Bowel Epiploic Appendage: Report of a Case
While many recent cases of colonic epiploic appendage causing acute abdomen have been reported, such appendages of the small bowel are extremely rare. We present a 59-year-old woman in whom a small bowel epiploic appendage caused volvulus. She presented with abdominal pain and vomiting in the absence of previous abdominal operations. A diagnosis of small bowel obstruction from strangulation was...
متن کاملIntestinal obstruction secondary to appendiceal mucocele.
Few cases of intestinal obstruction complicating an appendiceal mucocele have been recorded. We report the case of a young woman who presented to the emergency room with diffusely abdominal pain, nausea, vomiting and disruption of bowel movements. Her abdomen was mildly distended and tympanic. A flat film of the abdomen revealed dilated small bowel loops with air-fluid levels suggestive of smal...
متن کامل