Al-Qallaf Alyaa, Shuaib Abdullah, Al-Sharaf Khalid, Behbehani Abdullah
Kuwait Institute for Medical Specialization, Kuwait City, Kuwait.
Department of General Surgery, Mubarak Al-Kabeer Hospital, Kuwait City, Kuwait.
Qatar Med J. 2017 Jul 3;2017(2):4. doi: 10.5339/qmj.2017.4. eCollection 2017.
Acute appendicitis is the most common surgical condition with which patients present in emergency departments worldwide. It is also a rare cause of intestinal obstruction. Here, we report a case of a 53-year-old man who presented with a clinical picture of mechanical small bowel obstruction. Leucocytosis was not demonstrated on the routine blood investigation in our case, in contrast to the findings for most patients with acute appendicitis. Acute appendicitis, as the cause of the intestinal obstruction, was diagnosed by computed tomography of the abdomen. The patient was treated using diagnostic laparoscopy and laparoscopic appendectomy. This case was compared with those previously reported in the medical literature to determine the frequency of the case and the surgical management.
急性阑尾炎是全球急诊患者中最常见的需外科治疗的病症。它也是肠梗阻的罕见病因。在此,我们报告一例53岁男性患者,其临床表现为机械性小肠梗阻。与大多数急性阑尾炎患者的检查结果不同,我们这位患者的常规血液检查未显示白细胞增多。通过腹部计算机断层扫描诊断出急性阑尾炎是导致肠梗阻的病因。该患者接受了诊断性腹腔镜检查和腹腔镜阑尾切除术治疗。将该病例与医学文献中先前报道的病例进行比较,以确定该病例的发生率及手术治疗方法。