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Intestinal Obstruction due to Acute Appendicitis
Pham Hong Duc1, Ngo Minh Xuan2, Nguyen Huu Thuyet1
1Department of Radiology, Ha Noi Medical University, Ha Noi, Vietnam.
Case Reports in Gastroenterology
|September 5, 2020
Summary
Acute appendicitis can cause small bowel obstruction, often due to inflammation-related adhesions. This case highlights the importance of recognizing this rare cause of intestinal obstruction for timely diagnosis and treatment.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Mechanical small bowel obstruction is a common surgical emergency.
- Acute appendicitis is a known, though infrequently recognized, cause of bowel obstruction, typically due to adhesions from periappendicular inflammation.
Observation:
- A 17-year-old male presented with symptoms of intestinal obstruction and fever.
- Preoperative imaging, including ultrasound and CT scan, was performed.
- Laparotomy revealed bowel obstruction caused by acute appendicitis.
Findings:
- Acute appendicitis can lead to mechanical small bowel obstruction.
- Adhesions secondary to periappendicular inflammation are the usual mechanism.
Implications:
- Increased awareness of appendicitis as a cause of bowel obstruction is crucial for prompt diagnosis.
- This condition may be underdiagnosed, leading to delayed treatment and potential complications.
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