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 120
- Downloads 0
The Strategies of Coping with Stress in Workplace Used by Surgeons Working in Different Hospitals - A Pilotage Research
Association of XRCC6 C1310G and LIG4 T9I polymorphisms of NHEJ DNA repair pathway with risk of colorectal cancer in the Polish population
Introduction: Colorectal cancer is the second most common cancer worldwide. DNA double strand breaks (DSBs) are the most dangerous lesions which can lead to carcinogenesis. Nonhomologous end joining (NHEJ) is an importan...
Rzadka przyczyna przepukliny pachwinowej: torbiel więzadła obłego
Torbiel mezotelialna więzadła obłego to rzadka przyczyna przepukliny pachwinowej. Zwykle jest rozpoznawana podczas zabiegów operacyjnych, które podejmowane są ze względu z wstępną diagnozę przepukliny pachwinowej. W bada...
REPRINTED WITH PERMISSION OF EDITOR-IN-CHIEF OF ANNALS OF SURGERY: Annals of Surgery: Vol. 266, nr 5, November 2017; 703 - 705: Modern Surgeons: Still Masters of Their Trade or Just Operators of Medical Equipment?
My surgical education began at a time when Poland formed part of the communist bloc and was isolated from the world, or in today’s Terms – it remained behind the Iron Curtain. This was true of all areas of life, includin...
Effect of perioperative glutamine administration on C-reactive protein and liver function tests in patients undergoing hepatic resection
Hepatic resections are commonly associated with high morbidity and mortality. Nutrition plays an important role in reducing postoperative complications besides improvement in intensive care and perioperative management....