Abstract
Background: Acute appendicitis is a common surgical problem. However, the diagnosis is often overlooked when it presents as a bowel obstruction. Case presentation: In this report we present a case of elderly patient presented with bowel obstruction and radiological signs of sigmoid colon volvulus. Although there were no accurate manifested signs of acute appendicitis it was the real cause of acute large bowl obstruction. The patient was successfully treated with a laparotomy, adhesiolysis and appendicectomy and went on to make a good recovery. Conclusion: Acute appendicitis should be considered in the differential diagnosis of patients with large bowel obstruction.
Highlights
Acute appendicitis is a very common disease with low morbidity and mortality rates in most countries[1].Intestinal obstruction is a common surgical emergency caused by varied conditions
We present here a case of acute appendicitis presented clinically as bowel obstruction, radiologicaly as sigmoid volvulus
Al Masry et al.: Acute Appendicitis Presented as a Cause of Sigmoid Colon Obstruction: A Case Report manifestations with appearance of toxic manifestations
Summary
Acute appendicitis is a very common disease with low morbidity and mortality rates in most countries[1].Intestinal obstruction is a common surgical emergency caused by varied conditions. Appendix as a cause of intestinal obstruction is uncommon and not usually suspected. It was described as early as1901, very few reports are available which do a comprehensive review[2]. Pre-operatively, it is very difficult to diagnose this condition. The diagnosis is always made at the time of laparotomy. The treatment varies from appendicectomy to intestinal resection or even right hemicolectomy[3]. We present here a case of acute appendicitis presented clinically as bowel obstruction, radiologicaly as sigmoid volvulus
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