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Septic shock caused by acute appendicitis complicated with abscess formation within mesoappendix: A case report

Yifan Man1, Shikuan Li1, Zongping Yu1

  • 1Department of Emergency General Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, PR China.

International Journal of Surgery Case Reports
|October 10, 2020
PubMed
Abstract

Insights

A rare case of acute appendicitis with a mesoappendix abscess led to septic shock and kidney failure. Prompt appendectomy and antibiotics resulted in a full recovery, highlighting this unusual cause of severe sepsis.

Area of Science:

  • Surgical Gastroenterology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Acute appendicitis is a common surgical emergency with diverse presentations.
  • Life-threatening complications like septic shock are rare but possible.
  • This case highlights appendicitis complicated by a mesoappendix abscess.

Observation:

  • A 42-year-old male presented with abdominal pain, septic shock, and acute kidney failure.
  • Emergency appendectomy revealed an unexpected abscess within the mesoappendix.
  • Microbiological analysis identified Escherichia coli, Klebsiella pneumoniae, and Bifidobacterium.

Findings:

  • Histopathology confirmed acute suppurative appendicitis.
  • The septic shock was attributed to the mesoappendix abscess.
  • Bacteria likely entered the bloodstream via the mesoappendiceal vessel, causing systemic illness.

Implications:

  • Mesoappendix abscess is a potential cause of septic shock in appendicitis cases.
  • Early surgical intervention and antibiotics are crucial for managing such severe complications.
  • This presentation underscores the importance of considering atypical appendicitis complications.
Keywords:
AppendicitisLaparoscopic appendectomyMesoappendixSeptic shock

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