A Gut Feeling: An Extremely Rare Case of Missed Appendicitis

Pilgrim, Ashley; Russo, Rachel M.; Moulin, Aimee

doi:10.5811/westjem.2014.7.23037

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Other causes of missed appendicitis diagnosis may be concurrent pathology that leads away from a clinical suspicion and therefore from identifying appendicitis. No study looking into this phenomenon was located during literature review; however, there have been case reports of missed appendicitis when the appendix is contained within an umbilical hernia [ 13 ]. This may a case of the simplest and first identified cause being presumed to be the only cause.…”

Section: Discussionmentioning

confidence: 99%

Rare dual surgical pathology at emergency laparotomy: a case report of concurrent small bowel obstruction and appendicitis

Tully

Balasooriya

Lim

2023

Journal of Surgical Case Reports

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Dual surgical pathology at emergency laparotomy is an uncommon finding outside of trauma scenarios. There is a scarcity of case reports of concomitant small bowel obstruction and appendicitis at laparotomy, likely in part because of advancements in investigative tools, diagnostic processes and the ready availability of medical care, which is demonstrated by harrowing statistics from developing nations where these factors are lacking. However, despite these advancements, initial diagnosis of dual pathology can be difficult. We report a case of concurrent small bowel obstruction and occult appendicitis discovered at emergency laparotomy in a previously well female with a virgin abdomen.

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Section: Discussionmentioning

confidence: 99%

Rare dual surgical pathology at emergency laparotomy: a case report of concurrent small bowel obstruction and appendicitis

Tully

Balasooriya

Lim

2023

Journal of Surgical Case Reports

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“…For patients with moderate to severe symptoms who are healthy enough to undergo surgery, surgical repair is indicated. 15,16 For an older patient who has multiple comorbidities and a relatively asymptomatic hernia, a watchful waiting approach may be warranted due to the low risk of strangulation. For an acutely incarcerated hernia without a bowel present, manual reduction can be attempted.…”

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confidence: 99%

Strangulated Umbilical Hernia: A Case Report

Putra

Swedagatha

2022

Bioscmed

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Background: The abdominal wall hernia repair was one of the most frequently performed operations by general surgeons worldwide. The second most common hernia operation is repairs of umbilical hernia. It is estimated that 5% of individuals will develop an abdominal wall hernia over their lifetime. This study aimed to present a case of strangulated umbilical hernia. Case presentation: 51 years old male patient presented with sharp, non-radiating pain in the left abdominal region, obstipation, and noted bulge at his umbilicus about one year ago that did not shrink when he was lying down two days ago, the diameter about 7 cm. A plain Abdominal X-ray showed partial small bowel obstruction. The patient was taken to the operation theatre for laparotomy resection and reanastomose ileum and repair hernia defect with mesh. Prior to surgery, the patient received antibiotic therapy with Cefazolin 2gr intravenous, and the nasogastric decompression tube (NGT) was installed. On exploration, it was found necrotic ileum along 15 cm and performed resection, followed by end-to-end anastomosis. After the surgical procedure, the patient's hemodynamics was stable. Conclusion: Overall mortality and prognosis of hernia are influenced by whether the surgery was emergent or elective. Mortality is increased to up to 3% with emergency surgery for strangulated bowel, notably when bowel resection is performed.

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