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Related Concept Videos

Appendicitis01:19

Appendicitis

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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
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Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
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Monolimb paralysis after laparoscopic appendectomy due to conversion disorder.

Gihyeong Ryu1, Sung Hyuk Song1, Kyeong Hwan Lee1

  • 1Department of Rehabilitation Medicine, Dongguk University College of Medicine, Gyeongju, Korea.

Korean Journal of Family Medicine
|November 27, 2014
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Psychological factors can cause limb paralysis after laparoscopic surgery, even without physical damage. Prompt psychological counseling and rehabilitation led to a patient

Keywords:
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Area of Science:

  • Medical Case Study
  • Psychosomatic Medicine
  • Surgical Outcomes

Background:

  • Limb paralysis is a serious condition with diverse etiologies.
  • Post-surgical complications can manifest in various ways, necessitating thorough investigation.
  • Laparoscopic appendectomy is a common surgical procedure with a generally favorable safety profile.

Purpose of the Study:

  • To investigate the cause of lower extremity paralysis in a patient post-laparoscopic appendectomy.
  • To explore the potential role of psychological factors in unexplained post-surgical paralysis.
  • To report on the treatment and recovery of a patient with presumed psychosomatic limb paralysis.

Main Methods:

  • Clinical case presentation of a 13-year-old female patient.
  • Diagnostic workup including electrodiagnostic studies and magnetic resonance imaging (MRI).
  • Intervention involving simultaneous rehabilitation and psychological counseling.

Main Results:

  • Initial diagnostic tests (electrodiagnostics, MRI) revealed no definitive abnormalities.
  • The patient experienced gradual improvement in lower extremity paralysis following psychological intervention.
  • Full recovery and return to normal life were achieved.

Conclusions:

  • Psychological issues can manifest as limb paralysis, even in the absence of demonstrable organ damage.
  • This case highlights the importance of considering psychosomatic causes for unexplained post-laparoscopic surgery paralysis.
  • Integrated treatment combining rehabilitation and psychological support can be effective in such cases.