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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Published on: August 24, 2019

Perforated appendicitis after colonoscopy.

Paul Johnston1, John Maa

  • 1Department of Surgery, University of California at San Francisco, San Francisco, California 94103-0790, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 4, 2008
PubMed
Summary
This summary is machine-generated.

Acute perforated appendicitis is a rare complication following colonoscopy. This case highlights the need for vigilance, as perforation can occur within 24 hours, even without biopsy.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Diagnostic Imaging

Background:

  • Acute appendicitis is an infrequent complication of colonoscopy, with limited case reports.
  • Previous literature has not documented appendiceal perforation within 24 hours post-colonoscopy.

Observation:

  • A patient presented with symptoms necessitating urgent laparotomy 16 hours after colonoscopy.
  • The patient exhibited signs of free intra-abdominal air and peritonitis.

Findings:

  • Laparoscopy revealed two perforations of the appendix and generalized peritonitis.
  • Appendectomy and control of intra-abdominal sepsis were performed via laparotomy.

Implications:

  • Clinicians should maintain a high index of suspicion for perforated appendicitis in patients with abdominal pain post-colonoscopy.
  • Appendiceal perforation can manifest rapidly after colonoscopy, irrespective of biopsy.
  • Prompt diagnosis and surgical intervention are crucial for managing this rare complication.