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Related Concept Videos

Appendicitis01:19

Appendicitis

28
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...
28
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

4.4K
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...
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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

40
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...
40
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

930
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...
930
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

46
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
46
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

30
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...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Appendiceal duplication with simultaneous acute appendicitis and appendicular perforation causing small bowel

Rs Bali1, Mm Wani1, Si Mir1

  • 1Department Of GI Surgery, Government Medical College, Srinagar, India.

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|June 21, 2014
PubMed
Summary

Appendiceal duplication is a rare cause of small bowel obstruction. Prompt diagnosis is crucial for appropriate surgical management to avoid complications.

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Area of Science:

  • Gastroenterology
  • Surgical Emergencies
  • Abdominal Surgery

Background:

  • Acute appendicitis and intestinal obstruction are common surgical emergencies.
  • Appendiceal duplication is a rare condition that can mimic small bowel obstruction.
  • Misdiagnosis can lead to hazardous patient outcomes.

Purpose of the Study:

  • To report a case of appendiceal duplication presenting as small bowel obstruction.
  • To highlight the diagnostic challenges and clinical implications of appendiceal duplication.
  • To emphasize the importance of intraoperative assessment for appendiceal pathology.

Main Methods:

  • Case report of a patient with appendiceal duplication.
  • Surgical exploration for suspected appendicular pathology.
  • Intraoperative findings of dual appendix, one with appendicitis and the other perforated.

Main Results:

  • Appendiceal duplication presented as small bowel obstruction.
  • One appendix was acutely inflamed, while the other had a perforation.
  • Accurate preoperative diagnosis was challenging.

Conclusions:

  • Appendiceal duplication should be considered in cases of small bowel obstruction.
  • Intraoperative vigilance is essential to identify and manage appendiceal duplication.
  • Failure to diagnose can have serious clinical and medicolegal consequences.