| Title |
Galinės klubinės žarnos obstrukcinis užspaudimas kirmėlinės ataugos kilpa / |
| Translation of Title |
Strangulated terminal ileal obstruction due to closed-loop appendix. |
| Authors |
Zarakauskaitė, Eglė ; Lunevičius, Raimundas |
| DOI |
10.15388/LietChirur.2008.1.2167 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2008, t. 6, Nr. 1, p. 59-64.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
appendix ; atypical positioning ; acute ileal obstruction |
| Abstract [eng] |
Objective To describe and estimate a strangulated (by atypical appendix) closed-loop obstruction of the terminal ileum in an adult. Case report 71-year-old male was admitted because of crampy abdominal pain associated with nausea. There was no history of previous intraabdominal operations. On examination, the patient had obvious abdominal distention with peritoneal signs localized in the right iliocecal region. Bowel sounds were decreased. X-ray films showed multiple air fluid levels in the small intestine. Small-bowel obstruction was diagnosed and exploratory laparotomy was performed. The small intestine was heavily dilatated, overflowed by fluids and air because of a vermiform appendix wrapped around the terminal ileum and its mesenterium, and by its tip adhered to the ileocecal recessus. An appendectomy was performed, the small bowel was intubated using an enterodecompressive probe. Histopathology confirmed the diagnosis of secondary superficial appendicitis and hemorrhagic periappendicitis. The convalescence was not delayed. There were no postoperative complications. Conclusion This clinical report shows an unusual but possible very rare complication of atypically located appendix in an adult: a strangulated closed-loop obstruction of the terminal ileum. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2008 |
| CC license |
|
