Laparoscopic appendectomy: neuroma - case report
Journal Title: JOURNAL OF CONTEMPORARY MEDICINE - Year 2017, Vol 7, Issue 3
Abstract
63-year-old male patient with one week abdominal pain had minimal tenderness in the right lower quadrant. His complaint with the laboratory examination had revealed normal leukocyte value. During the clinical follow-up the patient was discharged with medical therapy. After a week following discharge computed tomography was determained that he had a thick appendix and cecum with clinically suspect of plastron appendicitis. The ornidazol and cefuroxime axetil were taken around six weeks. Consequently after the medication, laparoscopic appendectomy was performed. Postoperatif second day he was discharged on the lack of clinical problems following oral intake. Pathology reported neuroma obliteration as fibrosis. Mucosal barrier is disrupted once again when the appendix wall in secondary infections due to the bacterial invasion and inflammation. The inflammation can be controlled with the application of antibiotics, may result in mucosal healing and repair without an appendectomy. In addition, development of the plastron shows inflammation of the organism is limited by their own means. Delayed plastron appendicitis patients are kept in close follow-up and support with intensive antibiotic therapy. When the acute period established the elective appendectomy could be performed after 6-8 weeks. Very rarely, appendix proliferation of neuroendocrine cells in the stromaAs a result of the triggering of the appendix , it consists of neural hyperplasia. Obliterated in the appendix, a small appendix of recurrent inflammatory attacks causing proliferation of neuroendocrine cells in the stroma has been suggested to lead to appendicitis. This case report describes an appendix neuroma treated with laparoscopic appendectomy.
Authors and Affiliations
Yuksel Altınel, Bahar Büşra Özkan, Ayça Sultan Şahin, Semih Arıcı
Keywords
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- EP ID EP423320
- DOI 10.16899/gopctd.349954
- Views 118
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