Acute appendicitis presenting with small intestinal obstruction findings - 2 cases report

Abstract

Acute appendicitis and small intestinal obstructions are frequent surgical problems encountered by emergency departments. Acute appendicitis rarely presents as a finding of small intestinal obstruction. A sixty-eight-year-old woman and a forty-two-year-old man consulted the emergency department with findings of intestinal obstruction. The reasons for intestinal obstructions were paralytic in one patient, due to perforated appendix; in the other, mechanic, due to the obstruction of the terminal ileum by a long appendix. Both cases underwent appendectomies, and their post-operational periods were uncomplicated. As the most frequent surgical acute abdominal syndrome etiology, appendicitis may appear with unexpected clinical manifestations.

Keywords

• Intestinal obstruction, Acute appendicitis; Perforated appendicitis

İnce barsak obstrüksiyonu bulguları ile başvuran akut apandisit - 2 olgu sunumu

Abstract

Akut apandisit ve ince barsak obstrüksiyonları acil servislerde sık karşılaşılan cerrahi problemlerdir. Akut apandisit nadiren ince barsak obstrüksiyonu bulguları ile prezente olabilir. 68 yaşında kadın ve 42 yaşında erkek hastalar intestinal obstrüksiyon bulguları nedeniyle acil serviste değerlendirildi. Hastaların birinde obstrüksiyon nedeni perfore apandisit nedenli paralitik iken, diğerinde uzun apendiksin terminal ileuma basısı nedeniyle mekanikti. Her iki hastaya da apendektomi uygulandı ve ameliyat sonrası dönemleri sorunsuz seyretti. Akut apandisit en sık karşılaşılan akut karın sendromu etyolojisi olmasına rağmen nadiren beklenmedik klinik bulgularla prezente olabilir.

Keywords

• İntestinal obstrüksiyon, Akut apandisit; Perfore apandisit

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