An Uncommon Course Of Acute Appendicitis With Sepsis – A Case Report
Journal Title: Polish Journal of Surgery - Year 2015, Vol 87, Issue 5
Abstract
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.
Authors and Affiliations
Andrzej Żyluk, Wojciech Jagielski
Keywords
Related Articles
- EP ID EP74489
- DOI 10.1515/pjs-2015-0053
- Views 138
- Downloads 0
Concentration of Gelatinases and Their Tissue Inhibitors in Pancreatic Inflammatory and Neoplastic Tumors and Their Influence on the Early Postoperative Course
Pancreatic cancer (PC) is the fourth leading cause of death in the world, due to neoplastic disease. Chronic pancreatitis (CP) is a progressive disease leading towards pancreatic fibrosis. The aim of the study was to ass...
Laparoscopic cholecystectomy in the treatment of gallbladder polypoid lesions – 15 years of experience
Due to the constant increase of public health awareness and widespread “cancerophobia”, the progressively larger number of incidentally diagnosed gall-bladder polyps became the source of anxiety, which leads patients and...
Przeszczepienie trzustki u pacjenta po całkowitej pankreatektomii z powodu przewlekłego zapalenia trzustki – pierwszy przypadek w Pols
Przewlekłe zapalenie trzustki jest chorobą, która może wymagać interwencji chirurgicznej, w tym również niekiedy konieczności wykonania całkowitej pankreatektomii. Pacjenci po takim zabiegu muszą mieć wdrożoną insulinote...
Bilateral renal cell carcinoma with bilateral synchronous adrenal gland metastases – a case report
The authors reported a case of a 52-year-old patient with bilateral synchronous renal cell carcinoma synchronously disseminated in adrenal glands is presented. The patient underwent surgical treatment: radical nephrectom...
Anterior overlapping sphincteroplasty – who benefits from the surgery?
The aim of the study was to identify clinical factors which could influence the results of overlapping sphincteroplasty. Material and methods. Between 2003-2009 the group of 78 incontinent patients (59 women, mean age of...