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Acute Appendicitis Presented as a Cause of Sigmoid Colon Obstruction: A Case Report

Received: 11 October 2015     Accepted: 12 October 2015     Published: 30 November 2015
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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.

Published in Journal of Surgery (Volume 4, Issue 2-1)

This article belongs to the Special Issue Gastrointestinal Surgery: Recent Trends

DOI 10.11648/j.js.s.2016040201.11
Page(s) 1-3
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Obstruction, Sigmoid Colon, Acute Appendicitis

References
[1] Blomqvist PG, Andersson RE, Granath F, Lambe MP, Ekbom AR: Mortality after appendectomy in Sweden, 1987-1996. Annals of surgery 2001, 233(4):455-460.
[2] Hotchkiss Lucius W: Acute intestinal obstruction following appendicitis. Areport of three cases successfully operated upon. Ann Surg1901, 34:660-677.
[3] Bhandari L and Mohandas PG: Appendicitis as a cause of intestinal strangulation: a case report and review. World Journal of Emergency Surgery 2009, 4:34 doi: 10. 1186/ 1749 - 7922- 4-34.
[4] Bose S, Talwar B: Appendicitis causing acute intestinal obstruction with strangulation. The Australian and New Zealand Journal of Surgery1973, 43(1):56-57.
[5] Acute appendicitis presenting as small bowel obstruction: two case reports Sanjay Harrison*1, Kamal Mahawar1, Dougal Brown 2, Leslie Boobis 1 and Peter Small 1 Cases Journal 2009, 2:9106doi:10.1186/1757-1626-2-9106.
[6] Khurana B, Ledbetter S, Mctavish J et-al. Bowel obstruction revealed by multidetector CT. AJR Am J Roentgenol. 2002; 178(5):1139-44.
[7] Tjandra J J, Clunie G J, Kaye A H. Text book of Surgery. Wiley-Blackwell. (2006) ISBN: 1405126272.
[8] Choi J S, Lim J S, Kim Het-al. Colonic pseudo obstruction: CT findings. AJRAm J Roentgenol.2008; 190(6):1521-6.
[9] Brant W E, Helms C A. Fundamental sof Diagnostic Radiology. Lippincott Williams &Wilkins. (2007)ISBN: 0781761352.
[10] Aguirre D A, Santosa A C, Casola Get-al. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics. 2005; 25(6): 1501-20.
[11] Imbembo A L, Zucker K A. Volvulus of the colon. In: Sabiston D C (ed). Text book of Surgery, The Biological Basis of Modern Surgical Practice, 14th edition. Philadelphia, W.B. Saunders Company, 199, pp.940-944.
[12] Salati U, Mcneill G, Torreggiani W C. The coffee bean sign in sigmoid volvulus. Radiology. 2011; 258 (2): 651 – 2. doi: 10 .1148/radiol.101882.
[13] Mallory Williams, MD, Christopher P. Steffes, MD: Casereport: Sigmoid Volvulus in a 46-Year-Old Man www. turner-white. com Hospital Physician January 2006.
Cite This Article
  • APA Style

    Adel R. Al-Masry, Ifrat Bakirov, Aly Saber, Junaid Hassan. (2015). Acute Appendicitis Presented as a Cause of Sigmoid Colon Obstruction: A Case Report. Journal of Surgery, 4(2-1), 1-3. https://doi.org/10.11648/j.js.s.2016040201.11

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    ACS Style

    Adel R. Al-Masry; Ifrat Bakirov; Aly Saber; Junaid Hassan. Acute Appendicitis Presented as a Cause of Sigmoid Colon Obstruction: A Case Report. J. Surg. 2015, 4(2-1), 1-3. doi: 10.11648/j.js.s.2016040201.11

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    AMA Style

    Adel R. Al-Masry, Ifrat Bakirov, Aly Saber, Junaid Hassan. Acute Appendicitis Presented as a Cause of Sigmoid Colon Obstruction: A Case Report. J Surg. 2015;4(2-1):1-3. doi: 10.11648/j.js.s.2016040201.11

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  • @article{10.11648/j.js.s.2016040201.11,
      author = {Adel R. Al-Masry and Ifrat Bakirov and Aly Saber and Junaid Hassan},
      title = {Acute Appendicitis Presented as a Cause of Sigmoid Colon Obstruction: A Case Report},
      journal = {Journal of Surgery},
      volume = {4},
      number = {2-1},
      pages = {1-3},
      doi = {10.11648/j.js.s.2016040201.11},
      url = {https://doi.org/10.11648/j.js.s.2016040201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040201.11},
      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.},
     year = {2015}
    }
    

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    AB  - 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.
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Author Information
  • Department of General Surgery, Al-Mahalla Al-Koubra General Hospital, Al-Mahalla Al- Koubra, Egypt

  • Department of General Surgery, Huraymala General Hospital, Al- Ryadh, KSA

  • Department of General Surgery, Port-Fouad General Hospital, Port-Fouad, Egypt

  • Department of General Surgery, Mayo Hospital, KEMU, Lahore, Pakistan

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