A Case of Appendicitis with Long Appendix

Document Type : Case Report

Authors

1 Assistant Professor, Department of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2 Resident, Department of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

3 Student of Medicine, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Abstract

Background: Appendicitis commonly happens during the second to fourth decades of life. Mean age of patients is 31.3 years and it is slightly more prevalent in males. Obstruction of lumen is the dominant casual factor in acute appendicitis. Although fecaliths are the usual cause of appendiceal obstruction, less common causes are previous X-ray studies, tumors, vegetable and fruit seeds, and internal parasites. Appendicitis is a polymicrobial infection. Main organisms observed in acute appendicitis and in perforated appendicitis are Escherichia coli and Bacteroides fragilis. However, a wide variety of both facultative and anaerobic bacteria and mycobacteria may be present. Although the incidence of appendicitis in aged population is less than younger individuals, the mortality rate is significantly higher in older patients. Death might be attributable to delay in diagnosis, fast progress of the disease and comorbidityCase Report: We present an 85-year-old man who underwent surgery with diagnosis of acute appendicitis. He was a rare case of long appendix that was wrapped around the intestine loop and made an obstruction. The appendix was completely gangrened but there was no evidence of gangrene in the intestine. The patient was discharged 5 days after appendectomy when he was fine and his vital signs were stable.

Keywords

References

  1. Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Pollock RE. Schwartz's Principles of Surgery. 8th ed. NewYork, NY: McGraw-Hill Professional; 2004. p.1121.
  2. Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Pollock RE. Schwartz's Principles of Surgery. 8th ed. NewYork, NY: McGraw-Hill Professional; 2004. p.1122.
  3. Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Pollock RE. Schwartz's Principles of Surgery. 8th ed. NewYork, NY: McGraw-Hill Professional; 2004. p.1123.
Journal of Isfahan Medical School
Volume 29, Issue 168 - Serial Number 168
November and December 2012
Pages 2534-2539

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History

  • Receive Date: 21 November 2010
  • Revise Date: 30 April 2024
  • Accept Date: 06 April 2022

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