Perforated acute appendicitis resulting from appendiceal villous adenoma presenting with small bowel obstruction: a case report

Chen, Yuguang; Chang, Hao‐Ming; Chen, Yen‐Lin; Cheng, Yi‐Chiao; Hsu, Chin Wang

doi:10.1186/1471-230x-11-35

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…In elderly patients, it is more frequent to have complicated appendicitis like a periappendicular abscess, appendicular adenocarcinoma, inflammatory mass, or perforated appendicitis associated with occlusive form and bowel obstruction [ 8 ]. Perforated appendicitis increases mortality and morbidity in elderly subjects, increasing the risk of generalized peritonitis, sepsis, adhesion formation, and sometimes small bowel obstruction, which sometimes can be aggravated by personally associated comorbidities leading to severe decompensation [ 9 , 10 ]. A recent systematic review of the literature describes the incidence, form, and risk factors for perforation, mortality, and morbidity in the intestinal obstructive form of acute appendicitis (for details, see [ 9 ]).…”

Section: Discussionmentioning

confidence: 99%

An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review

Najm¹,

Bejenaru²,

Manolescu³

et al. 2023

Cureus

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Acute appendicitis represents one of the common causes of admission to the emergency department. In rare cases, patients with appendicitis can suffer complications such as intestinal obstruction. These particular cases of occlusive appendicitis with a periappendicular abscess usually occur in elderly patients and can develop in an aggressive form, nonetheless with a favorable evolution. We present a case of an 80-year-old male patient, reporting symptoms similar to an occlusive digestive pathology: abdominal pain, intestinal transit disorders, and fecal vomiting. A computerized tomography scan suggested a mechanical bowel obstruction. The patient had an exploratory laparotomy indication to find the cause of the obstruction. The peritoneal cavity inspection revealed an occlusive form of acute gangrenous appendicitis with a periappendicular abscess. An appendectomy was performed. In conclusion, as surgeons, we must always take into consideration that acute appendicitis can represent a cause of intestinal obstruction, especially in elderly patients.

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Section: Discussionmentioning

confidence: 99%

An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review

Najm¹,

Bejenaru²,

Manolescu³

et al. 2023

Cureus

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“…Concealed perforation of appendix was seen in only 1/100 (1%) patient. Chen et al [29] [34] showed that abdominal tuberculosis incidence is on the rise and is about 8.3%. Mukhopadhyay et al [11] showed that abdominal TB incidence is 10%.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Abdominal Tuberculosis in Cases of the Intestinal Obstruction With Its Clinical Course and Management

PARAS KUMAR PANDOVE,

ROMMEL SINGH MOHI,

PARVEEN KUMAR

2023

Asian J Pharm Clin Res

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Objective: Intestinal obstruction occurs due to the failure of passage of contents through intestine. It can be because of a mechanical or functional pathology. Main causes of intestinal obstruction may vary from country to country or among zones within a specific country. The aim of this study was to evaluate the etiology, presentation, management strategies, and patients with acute mechanical intestinal obstruction and to find incidence of abdominal tuberculosis at a tertiary care hospital in Punjab, North India. Methods: This prospective study was conducted in the Department of Surgery, Rajindra Medical College Hospital, Patiala, Punjab, India, between November 2020 and September 2022. A total of 100 patients were enrolled in our study who were diagnosed to have intestinal obstruction. Observation and Results: The most common age group affected was 21–50 years (63%). Intestinal obstruction was diagnosed with males preponderance (66%). Abdominal pain, constipation, and vomiting were the most common presenting symptoms and abdominal distension was the most common physical finding on the clinical examination. The most common radiological finding was multiple air fluid levels seen on X rays. The main cause of obstruction was Adhesions and Bands followed by Ileocecal tuberculosis. About 13% patients diagnosed with abdominal tuberculosis. Patients showed good response to anti-tubercular therapy. About 6% mortality rate was reported. Conclusion: Adhesions and bands were the main causes of acute intestinal obstruction in our region. An algorithmic diagnostic approach based on different radio investigations, biopsy, and appropriate management with a rational combination of anti-tubercular therapy can reduce the morbidity of this easily curable yet potentially lethal disease.

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“…The most common clinical presentation reported in the medical literature is acute appendicitis. The narrow appendiceal lumen may be occluded by the tumor early during the course and predisposes it to inflammation and perforation [ 7 , 11 , 28 ]. Other possible manifestations included a palpable abdominal mass, ascites, carcinomatosis and peritonitis resulting from a perforated appendix, and a variety of nonspecific symptoms [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Intramucosal Carcinoma of the Appendix Arising from Traditional Serrated Adenoma

Cutovoi

Rossi

Meirelles

et al. 2015

Case Reports in Surgery

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Introduction. Serrated adenomas of the appendix are rare and usually found during appendectomy or autopsies. The preoperative diagnosis of these tumors is uncommon. This report describes a case of a sessile serrated adenoma located in the appendix diagnosed by a screening colonoscopy and successfully treated by laparoscopic removal. Presentation of Case. An 86-year-old woman underwent colonoscopy to investigate the cause of her diarrhea, weight loss, and anemia. During the colonoscopy, an expansive and vegetating mass of 1.5 cm in diameter was identified, protruding through the appendicular ostium with slightly lateral growth to the cecum. The patient was referred for laparoscopic surgical resection due to the location of the lesion, which did not allow its removal by colonoscopy. She underwent wedge removal of the cecum without complications and was discharged on the 4th postoperative day. Histopathological examination showed the presence of a sessile serrated adenoma with an intramucosal adenocarcinoma. The patient is currently well one year after surgery, without endoscopic signs of relapse. Conclusion. Despite serrated adenomas being a possibility rarely described in appendix it should be recognized and properly treated because it is presenting a higher risk of cancer.

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Perforated acute appendicitis resulting from appendiceal villous adenoma presenting with small bowel obstruction: a case report

Cited by 9 publications

References 7 publications

An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review

An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review

Incidence of Abdominal Tuberculosis in Cases of the Intestinal Obstruction With Its Clinical Course and Management

Intramucosal Carcinoma of the Appendix Arising from Traditional Serrated Adenoma

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