Abstract
We have experienced a case of infection of an artificial vessel due to acute appendicitis in a 50-year-old man. The patent had undergone an abdominal arota-right femoral artery bypass operation using an artificial vessel in 1990. In 1995, he developed suppurative gonarthritis of the right lower limb, femoral osteomyelitis, and inflammation of the gastrocnemius and femoral muscles. These symptomas were improved by chemotherapy and incision drainage, though the etiology was unknown. In 1997, occlusion of the artificial vessel and suppurative lesions in the peripheral dorsal region of the foot and 3rd toe occurred, and a removal of the artificial vessel was conducted on November 8. On November 10, pus and intestinal juice like material flowed out from the wound. CT revealed gas in the retroperitoneal space, and a laparotomy was performed with a suspicion of perforation of the intestine. During operation the necrosed appendix, abscess formation and small bowel perforation were confirmed, and an appendectomy and a partial resection of the small intestine were carried out. Histologically, the appendix presented gangrenous appendicitis that might cause infection and occlusion of the artifical vessel. After the operation the inflammation was alleviated. There have been no signs of recurrence, and the patient is doing well.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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