Postcolonoscopy Appendicitis: Laparoscopy a Viable Option

Musielak, Matthew; Patel, Hiral; Fegelman, Elliott

doi:10.1177/000313481207801144

Cited by 9 publications

(3 citation statements)

References 2 publications

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“…All the cases are summarized in Table 1. [4][5][6][7][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]30,[32][33][34][35][36][38][39][40][41][42][43][44][45][46][47][48]…”

Section: Resultsunclassified

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Post‐colonoscopy appendicitis: Systematic review of current evidence

Elsabagh

Wijesuriya

2020

J of Gastro and Hepatol

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have no conflict of interest or financial ties to disclose. Author contribution: Zi Qin Ng designed the study, collected and analyzed the data, drafted the article, and approved the final version of the article to be published. Abdallah Elsabagh co-designed the study, collected and analyzed the data, and approved the final version of the article to be published. Ruwan Wijesuriya supervised the study, critically reviewed the manuscript, and approved the final version of the article to be published. Financial support: None.

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“…Twenty‐nine patients required appendectomy (seven cases by laparoscopy); two were managed successfully with intravenous antibiotics. All the cases are summarized in Table 1 4–7,9–28,30,32–36,38–48 …”

Section: Resultsmentioning

confidence: 99%

Post‐colonoscopy appendicitis: Systematic review of current evidence

Elsabagh

Wijesuriya

2020

J of Gastro and Hepatol

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“…The presentation and progression of appendicitis in this setting is highly heterogeneous . The age of the observed patients ranged from 33 to 84 years old.…”

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confidence: 99%

Acute appendicitis post‐colonoscopy

Wong

Chang

Alkidady

2014

ANZ Journal of Surgery

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A 63-year-old man presented to the emergency department with 1day history of non-migratory right-sided lower abdominal pain and no other associated symptoms. He had undergone a colonoscopy with banding of haemorrhoids for per rectal bleeding the preceding day. No biopsies or polyps were taken. The procedure itself was uneventful and performed with ease. The bowel preparation was excellent and good visualization of the caecum, identified by appendiceal orifice, ileocaecal valve and palpation. There were no signs of inflammation around the caecum or the appendiceal orifice. He recovered well from the procedure and was discharged home the same day.After 32 h, he presented to the emergency department with abdominal pain and right lower abdominal tenderness with no signs of peritonism. He was afebrile and haemodynamically stable, with an initial white cell count of 11.3 × 10 9 /L with 9 × 10 9 /L neutrophil count. Erect chest X-ray and abdominal X-ray were also normal. He subsequently underwent abdominal computed tomography (CT) imaging, which showed a thickened and oedematous appendix with surrounding fluid and fat stranding in the right iliac fossa (Figs 1,2).The patient was taken to theatre for a laparoscopic appendicectomy 52-h post-colonoscopy. Intraoperative findings were of gangrenous, locally perforated appendix with the presence of intraluminal soft faecal material. The patient made an uneventful recovery and was discharged home 4 days later. Histological examination subsequently confirmed the clinical diagnosis of appendicitis with ulceration, transmural inflammation, and necrosis and peritonitis.

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Acute appendicitis as a rare complication after colonoscopy

Kuriyama¹

2013

Clin J Gastroenterol

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Complications due to colonoscopy are uncommon, and acute appendicitis is a very rare complication of colonoscopy. We present the case of an 83-year-old man who underwent colonoscopy and subsequently developed acute appendicitis. In patients with abdominal pain who have had a recent colonoscopy, a high index of suspicion is necessary for the accurate diagnosis of appendicitis. Colonoscopists should be aware of this rare complication and consider it when making a differential diagnosis of post-colonoscopy abdominal pain.

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Postcolonoscopy Appendicitis: Laparoscopy a Viable Option

Cited by 9 publications

References 2 publications

Post‐colonoscopy appendicitis: Systematic review of current evidence

Post‐colonoscopy appendicitis: Systematic review of current evidence

Acute appendicitis post‐colonoscopy

Acute appendicitis as a rare complication after colonoscopy

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