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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...
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...
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

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Updated: May 21, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
05:46

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The consequences of missing appendicitis during pregnancy.

Papa Dasari1, Dilip Kumar Maurya

  • 1Obstetrics and Gynaecology, JIPMER, Puducherry, Puducherry, India. dasaripapa@gmail.com

BMJ Case Reports
|June 13, 2012
PubMed
Summary

A postpartum woman developed severe anemia and abdominal distension due to a perforated appendix. Prompt surgical intervention and antibiotics led to her recovery from this serious condition.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology
  • Infectious Diseases

Background:

  • Appendicitis is a common surgical emergency, but diagnosis can be challenging in the postpartum period.
  • Delayed diagnosis of appendicitis in pregnancy or postpartum can lead to severe complications like perforation and sepsis.

Observation:

  • A 23-year-old woman presented with severe anemia and abdominal distension postpartum.
  • Initial evaluation for abdominal pain at 32 weeks was non-specific; postpartum examination revealed peritonitis.
  • Abdominal ultrasound showed free fluid, and diagnostic aspiration confirmed pus, leading to emergency laparotomy.

Findings:

  • Emergency laparotomy revealed acute suppurative appendicitis with perforation.
  • The patient developed postoperative sepsis, with Enterococcus fecalis identified in blood and cervical cultures.

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  • Treatment included appendectomy, peritoneal lavage, and a 10-day course of vancomycin.
  • Implications:

    • This case highlights the importance of considering appendicitis in postpartum patients with abdominal pain and distension.
    • Early recognition and surgical management are crucial to prevent severe morbidity from perforated appendicitis in the puerperium.
    • Enterococcus fecalis sepsis requires appropriate antibiotic therapy, such as vancomycin, for successful treatment.