Abstract
Acute appendicitis is rare in the postoperative period of liver transplantation; only 23 cases were described in the literature to date, including late and immediate postoperative. Our case reports a patient who was presented with acute appendicitis in the immediate post-transplant and died in the subsequent postoperative period. The article reviews the available literature and all cases known until now, commenting on incidence, casual factors, symptoms, diagnostic and management.
Highlights
Acute appendicitis is the most common surgical emergency around the world and in a study conducted in 2012 in Pennsylvania, USA, there was an increase in the annual incidence from 7.62 to 9.38 per 10,000 between 1993 and 2008 [1]
A literature review shows that the acute appendicitis after liver transplantation (AALT) is rare, with an incidence ranging from 0.09% to 0.49% [3], and that a number of 3 cases was the highest reported in the same service until now [4]
In our service of Hospital Adventista Silvestre in Rio de Janeiro, Brazil, 150 liver transplants were performed between August 2010 and December 2013, and only one developed acute appendicitis, with gives us an incidence of 0.67%
Summary
Acute appendicitis is the most common surgical emergency around the world and in a study conducted in 2012 in Pennsylvania, USA, there was an increase in the annual incidence from 7.62 to 9.38 per 10,000 between 1993 and 2008 [1]. In the postoperative period of solid organ transplantation appendicitis is rare, and only 22 cases (one being a child)[2] occurring in the post-liver transplantation have been reported in the literature so far
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