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2015 | 87 | 5 | 272-276
Tytuł artykułu

An Uncommon Course Of Acute Appendicitis With Sepsis – A Case Report

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Authors report a case of 54-years-old patient, who presented to the hospital due to three-day history of weakness, abdominal pain and diarrhea. His general shape was severe, abdomen was tender at palpation in hypogastrium, peritoneal signs were positive, and blood tests showed highly elevated markers of inflammation, including procalcitonin, what suggested the sepsis. Despite unclear clinical picture, the presence sepsis was an argument to give the patient surgery. Intraoperatively, perforated appendix was found, being in mass with the omentum and small bowel. An appendectomy was performed. Postoperative course was complicated by the wound infection, but recovery progressed quickly and patient was dismissed at 5 days after operation. In the discussion the authors referred to the similar cases reported in the literature, concluding that acute appendicitis can be a life threating event for – to date – healthy adult person. Although a tendency to treat conservatively an uncomplicated acute appendicitis and to delay operations is supported by scientific evidence, the cases may occur in which only prompt surgical intervention protects the patient from serious complications.
Wydawca
Rocznik
Tom
87
Numer
5
Strony
272-276
Opis fizyczny
Daty
wydano
2015-05-01
otrzymano
2015-04-26
online
2015-07-10
Twórcy
  • Department of General and Hand Surgery, Pomeranian Medical University in SzczecinKierownik: prof. dr hab. , azyluk@hotmail.com
  • Department of General and Hand Surgery, Pomeranian Medical University in SzczecinKierownik: prof. dr hab.
Bibliografia
  • 1. Anderson RE : The natural history and traditional management of appendicitis revisited: spontaneous resolution and predominance of prehospital perforations imply that a correct diagnosis is more important than an early diagnosis. World J Surg 2007; 31: 86-92.
  • 2. Żyluk A, Ostrowski P: Rozpoznawanie ostrego zapalenia wyrostka robaczkowego – przegląd piśmiennictwa. Pol Przegl Chir 2010; 82: 517-33.
  • 3. Stroman DL, Bayouth CV, Kuhn JA et al.: The role of computed tomography in the diagnosis of acute appendicitis. Am J Surg 1999; 178: 485-89.
  • 4. Żyluk A, Ostrowski P: Analiza czynników wpływających na trafność rozpoznania ostrego zapalenia wyrostka robaczkowego. Pol Przegl Chir 2011; 83: 249-64.
  • 5. Izbicki JR, Knoefel WF, Wilker DK et al.: Accurate diagnosis of acute appendicitis: a retrospective and prospective analysis of 686 patients. Eur J Surg 1992; 158: 227-31.
  • 6. Abou-Nukta F, Bakhos C, Arroyo K et al.: Effects of delaying appendectomy for acute appendicitis for 12 to 24 hours. Arch Surg 2006; 141: 504-06.
  • 7. Salemis NS : Acute appendicitis presenting with Klebsiella pneumoniae septicemia due to bacterial translocation. Am J Emerg Med 2009; 27: 1023.
  • 8. Forster MJ, Akoh JA : Perforated appendicitis masquerading as acute pancreatitis in a morbidly obese patient. World J Gastroenterol 2008; 14: 1795-96.
  • 9. Fanning DM, Barry M, O'Brien GC, Leahy AL : Perforation of a retrocaecal appendix presenting clinically as a right lumbar abscess. Surgeon 2007; 5: 368-70.
  • 10. Hsieh CH, Wang YC, Yang HR et al.: Retroperitoneal abscess resulting from perforated acute appendicitis: analysis of its management and outcome. Surg Today 2007; 37: 762-67.
  • 11. Sand M, Trullen XV, Bechara FG et al.: A prospective bicenter study investigating the diagnostic value of procalcitonin in patients with acute appendicitis. Eur Surg Res 2009; 43: 291-97.
  • 12. Stahlfeld K, Hower J, Homitsky S, Madden J: Is acute appendicitis a surgical emergency? Am Surg 2007; 73: 626-29.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0053
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