scholarly journals Faecolith leading to acute exacerbation of chronic appendicitis: case report and review of literature

2019 ◽  
Vol 6 (4) ◽  
pp. 1408
Author(s):  
Anand Kishore ◽  
Anand Kumar Jaiswal
Keyword(s):  
Chronic Pain ◽  
Case Report ◽  
Acute Appendicitis ◽  
Acute Exacerbation ◽  
Surgical Intervention ◽  
Lymphoid Hyperplasia ◽  
Morbidity And Mortality ◽  
Review Of Literature ◽  
Chronic Appendicitis ◽  
Acute Condition

Acute appendicitis remains the most common acute condition often requiring surgical intervention. Obstruction of appendicular lumen by faecalith or lymphoid hyperplasia is the main cause of acute appendicitis. There is no possible way to prevent the development of acute appendicitis. The only way to reduce morbidity and mortality is by timely intervention and doing appendicectomy before perforation and gangrene of appendix occurs. We report a case of chronic appendicitis by a giant faecolith leading to chronic pain. This case is being reported is an example of how large an appendiceal faecalith can be.

Left-Sided Acute Appendicitis: a Case Report and a Review of Literature

2018 ◽  
Vol 81 (1) ◽  
pp. 65-69
Author(s):  
Fan-Biao Kong ◽  
Chen-Cheng Dong ◽  
Qiao-Ming Deng ◽  
Xiao-Tong Wang ◽  
Hong-Qiang Deng
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Review Of Literature

scholarly journals Early surgical correction of cervical disc herniation might avoid complications associated with opioid-based pain management: A case report

2019 ◽  
Vol 10 ◽  
pp. 69 ◽  
Author(s):  
Ramsis Ghaly ◽  
Ana Pleasca ◽  
Kenneth D. Candido ◽  
Nebojsa Nick Knezevic
Keyword(s):  
Chronic Pain ◽  
Case Report ◽  
Pain Management ◽  
Disc Herniation ◽  
Life Support ◽  
Hospital Admissions ◽  
Surgical Intervention ◽  
Surgical Correction ◽  
Cervical Disc Herniation ◽  
Cervical Disc

Background: Opioids are considered an effective method for acute and chronic pain management, but they are not suitable for all cases and should be used in carefully selected patients. In the past several decades, their use has come under intense scrutiny due to significant deviations from the classically described applicability of opioids in cancer-related pain. Case Description: A 34-year-old female with a 6-year history of worsening neck pain and suboccipital headaches was managed medically including the use of oral muscle relaxants, steroids, gabapentin, and opioid-based medications as well as interventional pain procedures that provided only temporary pain relief. She made repeated ER visits and had multiple hospital admissions for pain control, during which times she was placed on patient-controlled analgesia with IV hydromorphone administration. During the most recent admission for an acute exacerbation of chronic pain, she was found by her mother to be unresponsive and not breathing. A code blue was called and cardiopulmonary resuscitation per an advanced cardiac life support algorithm was conducted. The patient was successfully resuscitated and was discharged from the hospital in satisfactory condition. This incident was reported as an “allergic reaction” to hydromorphone. After consultation with a neurosurgeon, the patient underwent a definitive surgical intervention consisting of a C5–6 anterior cervical discectomy and fusion using an interbody spacer and anterior instrumentation. Within 6 weeks, she reported significant decreases in her pain, stopped using the pain medication, and was able to return to her normal lifestyle. Conclusions: The present case report is an example of long-term pain management with multiple medications, including opioid use and performing interventional pain procedures, while avoiding early surgical correction of cervical disc herniation. This resulted in years of suffering with pain and serious morbidity from opioid overdosing. Surgical intervention was definitive in terms of ultimately improving her pain and reducing her reliance on opioid analgesics.

A Case Report on the Surgical Management of Subhepatic Perforated Appendicitis: A Rare Presentation

2020 ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Female Patient ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.

scholarly journals Idiopathic Infected Hydrocele in a Toddler: A Case Report with Review

2006 ◽  
Vol 6 ◽  
pp. 2396-2398 ◽  
Author(s):  
Jayesh Sagar ◽  
Suhas Kumar ◽  
D. Mondal ◽  
D.K. Shah
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
English Literature ◽  
Review Of Literature ◽  
First Time

Idiopathic infected hydrocele in infants is a rare, but well-documented, entity in English literature; however, occurrence of such a condition in a toddler is not yet documented. Here we report the case of an idiopathic infected hydrocele in a toddler for the first time in English literature. We also discuss a review of literature and demonstrate management of infected hydrocele by antibiotics without any surgical intervention, also for the first time in English literature.

scholarly journals Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Pamathy Gnanaselvam ◽  
Dhanushka N. Weerakoon ◽  
W. A. M. Wijayasuriya ◽  
Vishva Samidi Mohottala ◽  
B. M. E. S. Sinhakumara ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Crohn's Disease ◽  
Acute Appendicitis ◽  
Clinical Findings ◽  
Additional Treatment ◽  
Histological Evaluation ◽  
Histopathological Analysis ◽  
Review Of Literature

The isolated appendiceal Crohn’s disease without preceding bowel symptoms is a rare phenomenon, especially in older patients. In this case report, we present a 60-year-old female with isolated appendiceal Crohn’s disease presenting with acute appendicitis. She presented with classical features of appendicitis with elevated inflammatory markers. She underwent an appendectomy which showed an excessively swollen, oedematous, and reddish appendix with swelling extending to the base of the caecum. Histological evaluation was suggestive of Crohn’s disease, and subsequent colonoscopy was unremarkable. Following appendectomy, she was asymptomatic without any recurrence of disease. The atypical morphological appearance of the appendix should raise suspicion of Crohn’s disease. This case highlights the importance of histopathological analysis of the specimen, especially in abnormal clinical findings. The prognosis of such patients seems to be good, and additional treatment is rarely needed.

scholarly journals Double acute appendicitis: cecal and epiploic; literature review of a case report

2020 ◽  
Vol 8 (12) ◽  
pp. 4512
Author(s):  
Camilo Levi Acuna Pinzon ◽  
Jose Luis Chavaria Chavira ◽  
Jefferson Fabian Nieves Condoy ◽  
Claudia Ortiz Ledesma
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Appendicitis ◽  
Blood Test ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Simultaneous Presentation ◽  
Pelvic Cavity ◽  
Initial Blood ◽  
Suspected Diagnosis

Acute cecal appendicitis and appendagitis are two entities due to the inflammation of the cecal and epiploic appendix respectively. A case of a 34-year-old woman is presented, who is admitted for abdominal pain. Initial blood test and ultrasonography were not conclusive, subsequently with clinical deterioration, surgical intervention was required which noted acute appendicitis and appendicitis that were removed. This is an extremely unusual case, since the simultaneous presentation of these two entities has not been widely described and demonstrates the importance of exploring the abdominal and pelvic cavity in patients with suspected diagnosis of acute appendicitis.

scholarly journals Pneumoperitoneum, Pneumothorax, and Pneumoretroperitoneum Post Colonoscopy: A Case report and Review of Literature

2020 ◽  
pp. 102-105
Author(s):  
Melissa Kyriakos Saad ◽  
Toufic Saber ◽  
George Cortas ◽  
Elias Saikaly
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Watchful Waiting ◽  
Surgical Intervention ◽  
Colonic Perforation ◽  
The Other ◽  
Review Of Literature ◽  
The Real ◽  
Other Hand ◽  
Real Challenge

Colonic perforation post colonoscopy is rarely seen; however, when coupled with massive pneumoperitoneum in haemodynamically stable patients, a real dilemma for surgeons is created. The decision between watchful waiting versus surgical intervention is the real challenge and while most surgeons will urge for surgical intervention, conservative management on the other hand can be safely applied in selected haemodynamically stable patients.

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