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 111
- Downloads 0
Evaluation of the Learning Curve for Intraoperative Neural Monitoring of the Recurrent Laryngeal Nerves in Thyroid Surgery*
Intraoperative neuromonitoring facilitates identification of the recurrent laryngeal nerves (RLN) and allows for predicting their postoperative function. Nevertheless, the outcome of thyroid surgery monitoring is affecte...
Impact of the Ser326Cys polymorphism of the OGG1 gene on the level of oxidative DNA damage in patients with colorectal cancer
As a result of reactive oxygen species operation, cell damage occurs in both cellular organelles and molecules, including DNA. Oxidative damage within the genetic material can lead to accumulation of mutations and conseq...
Wartość kliniczna badań kolonoskopii i pozytonowej tomografii emisyjnej z tomografią komputerową w rozpoznawaniu raka jelita grubego
Wstęp: Kolonoskopia oraz PET/CT są jednymi z głównych badań diagnostycznych raka jelita grubego. Czułość, swoistość i dokładność tych badań jest nadal różnie oceniana. Cel pracy: Celem pracy jest porównanie czułości, spe...
Percutaneous Endovascular Abdominal Aortic Aneurysm Repair Within the Infrarenal Region. Preliminary Report
The aim of the study was to thoroughly evaluate the closure device ProStar XL in terms of its efficiency and safety in the percutaneous endovascular treatment of abdominal aortic aneurysms in the infrarenal section of th...
Familial Adenomatous Polyposis; 30-Year Observation of a Female Patient – Case Report
Familial adenomatous polyposis (FAP) is a colorectal cancer syndrome caused by a germline mutation inherited in an autosomal-dominant pattern with a 100% penetrance. Our detailed case report presents a history of a 55-ye...