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Retained portion of the appendix following laparosocpic appendicectomy causing peritonitis and ileus

B P Gouda1, R T Kochar, R S Shah

  • 1Department of Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai-400007, India.

Journal of Minimal Access Surgery
|April 28, 2011
PubMed

Insights

A retained inflamed appendix after laparoscopic appendicectomy caused peritonitis and paralytic ileus. This case highlights rare complications of this common surgical procedure.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Laparoscopic appendicectomy (LA) is a common surgical procedure for appendicitis.
  • While generally safe, LA can have rare but serious complications.

Observation:

  • A patient presented with peritonitis and paralytic ileus.
  • These symptoms were attributed to a retained, inflamed portion of the appendix post-LA.

Findings:

  • The retained appendiceal stump led to severe intra-abdominal inflammation and bowel dysfunction.
  • Prompt diagnosis and management were crucial for patient recovery.

Implications:

  • This case underscores the importance of meticulous surgical technique in LA to prevent retained tissue.
  • Awareness of such unusual complications is vital for surgeons managing appendicitis patients.
Keywords:
Laparoscopyacute appendicitisappendicectomycomplication

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