Death caused by appendicular knotting and small-bowel strangulation in a child: A case report and review

2018 ◽  
Vol 58 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Andres Rodriguez Zorro ◽  
Jairo Hernando Vivas Diaz
Keyword(s):  
Small Bowel ◽  
Acute Appendicitis ◽  
Manner Of Death ◽  
Abdominal Symptoms ◽  
First Case ◽  
Surgical Emergencies ◽  
History Of ◽  
Small Bowel Strangulation ◽  
Uncommon Condition ◽  
Bowel Strangulation

Acute appendicitis is one of the most common surgical emergencies in paediatrics. However, acute appendicitis in early infancy is an uncommon condition. Furthermore, strangulation of the small intestine through appendicular knotting is described as very unusual in the literature and is generally not well-diagnosed in the clinical context. This article reports the case of a 23-month-old girl who entered the emergency department with a three-day history of abdominal symptoms and who died in less than 24 hours without receiving surgical intervention. The case turned judicial at the request of the parents who claimed lack of clarity in the diagnosis. A medico-legal autopsy was ordered to clarify the cause and manner of death. The autopsy documented herniation, strangulation and torsion of a 70 cm segment of the jejunum/ileum through an appendicular knot caused by the attachment of the distal end of the inflamed appendage to the ileum. The case is relevant because it is the first case of death by appendicular knot and strangulation of small bowel in an infant reported in the literature. The importance of autopsy to clarify the clinical diagnosis is noted.

scholarly journals Ectopic decidua of the appendix: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Manabu Kaneko ◽  
Hiroaki Nozawa ◽  
Hirofumi Rokutan ◽  
Koji Murono ◽  
Tetsuo Ushiku ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Rare Entity ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Decidual Tissue ◽  
Abdominal Symptoms ◽  
History Of ◽  
Myxoid Degeneration ◽  
Right Lower Quadrant

Abstract Background Ectopic decidua is the presence of decidual tissue outside the uterus. Ectopic decidua of the appendix is a rare entity that can present with abdominal symptoms mimicking appendicitis. We report a case of a 39-year-old female patient at 27 weeks gestational age with a 2-day history of right lower quadrant abdominal pain. Case presentation The patient was referred to our hospital with suspicion of either acute appendicitis or threatened rupture of the uterus, the latter of which was considered unlikely following close examination. Therefore, she underwent emergency appendectomy via laparotomy. Microscopic examination revealed decidual tissue with myxoid degeneration in the subserosal layer of the tip side of the appendix, without endometriosis, which was compatible with ectopic decidua (deciduosis). Conclusions Because it is extremely difficult to distinguish ectopic decidua of the appendix from acute appendicitis, even with various imaging modalities, we should be aware that ectopic decidua of the appendix is a differential diagnosis for acute appendicitis in pregnant women.

scholarly journals A rare cause of small bowel diaphragm disease presenting with palpated abdominal mass

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Aghyad K Danial ◽  
Ahmad Al-Mouakeh ◽  
Yaman K Danial ◽  
Ahmad A Nawlo ◽  
Ahmad Khalil ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Medical History ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Past Medical History ◽  
Abdominal Symptoms ◽  
Diaphragm Disease ◽  
History Of ◽  
Specific Symptoms

Abstract Small bowel diaphragm disease is a rare complication related to non-steroidal anti-inflammatory drug (NSAID) use. It presents with non-specific symptoms such as vomiting, abdominal pain, subacute bowel obstruction and occasionally as an acute abdominal condition. We report a case of diaphragm disease in a 33-year-old female who presented with vomiting, constipation and abdominal pain started 5 days earlier. Physical examination revealed palpated abdominal mass. The patient’s past medical history was remarkable for NSAID use. The patient was managed by surgical resection of involved intestine and diagnosis was confirmed by histological examination. Although there are few published cases of diaphragm disease in the medical literature, we recommend that this disease should be considered as one of the differential diagnoses when assessing patients presenting with non-specific abdominal symptoms with remarkable past medical history of NSAID use.

Acute appendicitis

2017 ◽  
Vol 10 (10) ◽  
pp. 602-607 ◽  
Author(s):  
Magnus James
Keyword(s):  
Acute Appendicitis ◽  
History Of Medicine ◽  
Morbidity And Mortality ◽  
Surgical Emergencies ◽  
History Of

The appendix was discovered in the 1500s, with the first successful appendectomy being performed in 1735. Throughout the history of medicine, diseases of the appendix have managed to cause confusion among doctors and harm to patients. Morbidity and mortality from appendicitis are improving, but still place a large burden on healthcare. Appendicitis is still one of the commonest surgical emergencies and the aim of this article is to review the incidence, presentation and management of acute appendicitis.

scholarly journals Right Paraduodenal Hernia: A Rare Cause of Small Bowel Strangulation

Cureus ◽  
2020 ◽  
Author(s):  
Aishwarya Reddy Bollampally ◽  
Baskaran Dhanapal ◽  
Faiz Hussain Mohammed
Keyword(s):  
Small Bowel ◽  
Paraduodenal Hernia ◽  
Small Bowel Strangulation ◽  
Right Paraduodenal Hernia ◽  
Bowel Strangulation

scholarly journals Lymphangioma Circumscriptum of the Vulva- A Case Series

2021 ◽  
Author(s):  
Rashmi S Mahajan ◽  
Yogesh S Marfatia ◽  
Atmakalyani R Shah ◽  
Kishan R Ninama
Keyword(s):  
Late Onset ◽  
Case Series ◽  
Suspected Case ◽  
Age Group ◽  
The Third ◽  
First Case ◽  
History Of ◽  
Subcutaneous Tissues ◽  
Uncommon Condition ◽  
Lymphangioma Circumscriptum

Vulval dermatoses pose a diagnostic and therapeutic challenge for the dermatologists. Lymphangioma Circumscriptum (LC) is a form of lymphangioma affecting the skin and subcutaneous tissues that is characterised by benign dilation of lymphatic channels. This uncommon condition is known to occur over the chest, mouth, axilla, tongue, and rarely in the vulva. In this series, authors present three cases of LC of vulva in women between the age group of 45 to 60 years with late-onset fluid-filled lesions over the vulva. The first case had history of hysterectomy prior to onset of lesions, the second case had a spontaneous onset of lesions while the third was a suspected case of pelvic tuberculosis with secondary lymphangioma.

Sign in / Sign up

Export Citation Format

Share Document