Acute Small Gut Obstruction as an Atypical Presentation of Acute Appendicitis without Rupture or Perforation of the Appendix

Authors

  • ABM Moniruddin Prof of Surgery, Monno Medical College, Manikganj, Bangladesh
  • Salma Chowdhury Ex-Prof of Obs&Gynae, Dhaka Mrdical College, Dhaka, Bangladesh
  • Tanvirul Hasan MO Institute of Nuclear Medicine & Allied Sciences, BAEC, Dinajpur, Bangladesh
  • Kazi Muhammad Mahmudul Hasan Assist Prof of Anaesthesiology, Monno Medical College, Manikganj, Bangladesh
  • - RounakJahan MO, Department of Surgery, Monno Medical College, Manikganj, Bangladesh
  • Kabir Ashfaque Hossain MO, Department of Surgery, Monno Medical College, Manikganj, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v39i4.55947

Keywords:

Adhesion, appendicular lump, atypical appendicitis, internal herniation, Ileus

Abstract

Acute appendicitis is a very common surgical emergency. It has got diverse presentations and various complications. Here, we report case history of a young male patient with a 2- year history of recurrent abdominal pain, who presented to our center with a 4-day history of increasing abdominal pain, constipation and vomiting. Clinical and radiological evaluation revealed it as a case of acute intestinal obstruction preoperatively. Per-operative findings suggested acute appendicitis without perforation, small gut obstruction by adhesions, appendicular lump or internal herniation. Appendicectomy was done along with other necessary procedures. His post-operative period was uneventful. This case is reported here to highlight that acute appendicitis may present with atypical features like acute small gut obstruction.

J Bangladesh Coll Phys Surg 2021; 39: 261-265

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Published

2021-09-30

How to Cite

Moniruddin, A. ., Chowdhury, S. ., Hasan, T., Mahmudul Hasan, K. M. ., RounakJahan, .-., & Hossain, K. A. (2021). Acute Small Gut Obstruction as an Atypical Presentation of Acute Appendicitis without Rupture or Perforation of the Appendix. Journal of Bangladesh College of Physicians and Surgeons, 39(4), 261–265. https://doi.org/10.3329/jbcps.v39i4.55947

Issue

Section

Case Reports