Acute appendicitis as a rare cause of mechanical small bowel obstruction case report

Alyaa Al-Qallaf 1, Abdullah Shuaib 2, Khalid Al-Sharaf 2, Abdullah Behbehani 2 3

Affiliations

07 March 2017

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doi: 10.5339/qmj.2017.4

Abstract

Acute appendicitis is the most common surgical condition with which patients present in emergency departments worldwide. It is also a rare cause of intestinal obstruction. Here, we report a case of a 53-year-old man who presented with a clinical picture of mechanical small bowel obstruction. Leucocytosis was not demonstrated on the routine blood investigation in our case, in contrast to the findings for most patients with acute appendicitis. Acute appendicitis, as the cause of the intestinal obstruction, was diagnosed by computed tomography of the abdomen. The patient was treated using diagnostic laparoscopy and laparoscopic appendectomy. This case was compared with those previously reported in the medical literature to determine the frequency of the case and the surgical management.

Keywords: Acute appendicitis; intestinal obstruction; laparoscopic appendectomy; small bowel obstruction.

Figures

Figure 1. Erect abdominal X-ray showing multiple air fluid levels in the small bowel of the patient.

Figure 1. Erect abdominal X-ray showing multiple air fluid levels in the small bowel of the patient.

Figure 2. Computed tomography of the abdomen showing the inflamed appendix (white arrow).

Figure 2. Computed tomography of the abdomen showing the inflamed appendix (white arrow).

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