PDF(Pubmed)
Abstract：
Acute appendicitis represents one of the common causes of admission to the emergency department. In rare cases, patients with appendicitis can suffer complications such as intestinal obstruction. These particular cases of occlusive appendicitis with a periappendicular abscess usually occur in elderly patients and can develop in an aggressive form, nonetheless with a favorable evolution. We present a case of an 80-year-old male patient, reporting symptoms similar to an occlusive digestive pathology: abdominal pain, intestinal transit disorders, and fecal vomiting. A computerized tomography scan suggested a mechanical bowel obstruction. The patient had an exploratory laparotomy indication to find the cause of the obstruction. The peritoneal cavity inspection revealed an occlusive form of acute gangrenous appendicitis with a periappendicular abscess. An appendectomy was performed. In conclusion, as surgeons, we must always take into consideration that acute appendicitis can represent a cause of intestinal obstruction, especially in elderly patients.
摘要：
急性阑尾炎是急诊入院的常见原因之一。在极少数情况下,阑尾炎患者会出现肠梗阻等并发症。这些伴有阑尾周围脓肿的闭塞性阑尾炎的特殊病例通常发生在老年患者中，并且可以以侵袭性形式发展。尽管如此，一个有利的演变。我们介绍了一个80岁的男性患者，报告类似于闭塞性消化病理的症状：腹痛，肠道运输障碍，还有粪便呕吐.计算机断层扫描显示机械性肠梗阻。该患者有剖腹探查指征，以寻找梗阻的原因。腹膜腔检查显示闭塞性形式的急性坏疽性阑尾炎伴阑尾周围脓肿。进行阑尾切除术。总之,作为外科医生,我们必须始终考虑到急性阑尾炎可能是肠梗阻的原因，尤其是老年患者。
