PDF(Pubmed)
Abstract：
Acute appendicitis stands as a prevalent cause necessitating surgical intervention globally, predominantly affecting young adults and children, with notably lower incidence among the elderly. Timely diagnosis facilitates effective management, mitigating the risk of severe complications. In this report, we present the case of a 59-year-old patient whose delayed diagnosis and consequently delayed surgical treatment led to serious complications. After the appendectomy, the patient, due to developing sepsis, was transferred to the intensive care unit. On the seventh postoperative day, complications were found in the form of wound dehiscence along with perforation of the jejunum. The second surgery involved a classic laparotomy, encompassing partial resection of the small intestine, and the creation of a single-barrel ileostomy. Further conservative treatment was implemented, and drainage of the abscess was performed. After treatment in the ICU, the patient was transferred to the surgical ward for further treatment. During the hospital stay, further conservative treatment was implemented, resulting in the improvement of the patient\'s general condition and resolution of symptoms. The patient was discharged home in optimal general condition with recommendations. After six months, the patient was brought to the surgical ward for reconstructive surgery to reestablish gastrointestinal continuity, which was carried out successfully.
摘要：
急性阑尾炎是全球需要手术干预的普遍原因。主要影响年轻人和儿童，在老年人中发病率明显较低。及时诊断有利于有效管理，降低严重并发症的风险。在这份报告中,我们介绍了一例59岁患者的病例,其延误诊断并因此延误手术治疗导致严重并发症.阑尾切除术后,病人,由于发展为败血症，被转移到重症监护室.术后第七天,并发症以伤口裂开和空肠穿孔的形式出现。第二次手术是经典的剖腹手术，包括小肠的部分切除，和单管回肠造口术的创造。进一步实施保守治疗，并进行脓肿引流。在ICU治疗后，患者被转移到外科病房接受进一步治疗。住院期间,进一步保守治疗,从而改善患者的一般状况和症状的解决。患者在最佳一般情况下出院，并提出建议。六个月后,患者被带到手术室进行重建手术，以重建胃肠道的连续性，这是成功进行的。
