Case report of 58-year-old psychiatric male with neglected complicated acute appendicitis

Abstract

Background: Studies revealed people with psychiatric conditions have a higher risk of complicated appendicitis. Patients with acute appendicitis classically present with acute pain in the right iliac fossa, fever, and vomiting. In complicated acute appendicitis, patients present with a palpable mass, appendix phlegm, or abscess. Commonly, appendicular abscesses are treated conservatively with ultrasound-guided percutaneous drainage and antibiotic therapy. Case Presentation: We demonstrate a case of a 58-year-old with neglected appendicitis in a psychiatric patient. The patient presents with multiple intraabdominal abscesses and septic shock, requiring open drainage and intensive care unit admission. Conclusion: To stop the progression of the disease and the emergence of complications, our study highlights the significance of careful assessment, early diagnosis, and treatment with attention to adherence for the psychiatric population.