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Related Concept Videos

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

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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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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Ostomy Care01:24

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An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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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.
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Appendicitis in an Appendicostomy.

Maggie E Bosley1, Ashlee E Stutsrim1, Jessica L Gross1

  • 1Department of Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA.

The American Surgeon
|May 31, 2021
PubMed
Summary
This summary is machine-generated.

Appendicitis at a previous appendicostomy is rare. This case report details a unique, minimally invasive surgical approach for managing this uncommon presentation of a common disease.

Keywords:
appendicitisappendicostomy

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Appendicitis is a common surgical emergency.
  • Appendicostomy is a surgical procedure to create an opening for the appendix.
  • Appendicitis occurring at a previous appendicostomy site is exceptionally rare.

Observation:

  • A 25-year-old male presented with symptoms of localized infection at his prior appendicostomy site.
  • Imaging confirmed appendicitis originating from the appendicostomy remnant, with a fecalith present.
  • The patient experienced right lower quadrant erythema, purulence, and pain.

Findings:

  • Appendicitis at a previous appendicostomy is an uncommon condition, with limited prior case documentation.
  • The patient underwent a successful appendectomy.
  • A novel, minimally invasive surgical technique, similar to loop ileostomy reversal, was employed.

Implications:

  • This case highlights an unusual manifestation of appendicitis.
  • The described surgical approach offers a minimally invasive option for managing appendicitis at appendicostomy sites.
  • Further investigation into minimally invasive techniques for rare appendiceal presentations is warranted.