Abstract：
BACKGROUND: Acute appendicitis is one of the most common acute abdominal issues requiring surgery and is usually treated by appendectomy. During the process of removing the appendix, the appendiceal artery is severed. In most individuals, the appendix is supplied by only one appendiceal artery.
METHODS: A 50-year-old man underwent appendectomy. During the surgical procedure, the appendix artery and two accessory arteries of the appendix were severed, leading to massive hemorrhaging in the abdominal cavity, which ultimately resulted in the patient\'s unfortunate demise.
CONCLUSIONS: Through this case, we hope that surgeons can learn more about the anatomy of the appendiceal artery and understand the possibility of accessory arteries to the appendix. During surgery, the blood vessels supplying the appendix should be carefully explored, and the \"one-size-fits-all approach\" should be avoided. Moreover, attention should be given to complications after appendectomy, and timely symptomatic treatment should be provided. Key points 1. Rare typing: The case of death due to improper handling of the accessory appendicular artery during appendectomy in patients with three appendiceal arteries is currently unreported. 2. Detailed anatomical knowledge: Surgeons performing an appendectomy need to make a detailed exploration of the blood vessel supply of the appendix to avoid ignoring anatomically different blood vessels. 3. Avoid a one-size-fits-all approach: In the surgical process, a \"one-size-fits-all\" approach should be avoided, that is, the same surgical approach should not be used in all cases, but should be adjusted according to the anatomical characteristics of the individual. 4. Observation of postoperative bleeding: In the perioperative period, peritoneal drainage should be closely observed. If a large amount of bloody fluid is found, timely surgical treatment should be carried out. 5. Attention to complications: Surgeons should pay.
METHODS: A 50-year-old man underwent appendectomy. During the surgical procedure, the appendix artery and two accessory arteries of the appendix were severed, leading to massive hemorrhaging in the abdominal cavity, which ultimately resulted in the patient\'s unfortunate demise.
CONCLUSIONS: Through this case, we hope that surgeons can learn more about the anatomy of the appendiceal artery and understand the possibility of accessory arteries to the appendix. During surgery, the blood vessels supplying the appendix should be carefully explored, and the \"one-size-fits-all approach\" should be avoided. Moreover, attention should be given to complications after appendectomy, and timely symptomatic treatment should be provided. Key points 1. Rare typing: The case of death due to improper handling of the accessory appendicular artery during appendectomy in patients with three appendiceal arteries is currently unreported. 2. Detailed anatomical knowledge: Surgeons performing an appendectomy need to make a detailed exploration of the blood vessel supply of the appendix to avoid ignoring anatomically different blood vessels. 3. Avoid a one-size-fits-all approach: In the surgical process, a \"one-size-fits-all\" approach should be avoided, that is, the same surgical approach should not be used in all cases, but should be adjusted according to the anatomical characteristics of the individual. 4. Observation of postoperative bleeding: In the perioperative period, peritoneal drainage should be closely observed. If a large amount of bloody fluid is found, timely surgical treatment should be carried out. 5. Attention to complications: Surgeons should pay.
摘要：
背景：急性阑尾炎是需要手术的最常见的急性腹部疾病之一，通常通过阑尾切除术治疗。在删除附录的过程中，阑尾动脉被切断.在大多数个人中，阑尾仅由一条阑尾动脉供应。
方法：一名50岁男子接受了阑尾切除术。在手术过程中,阑尾动脉和阑尾的两个副动脉被切断，导致腹腔大量出血，这最终导致了病人不幸的死亡。
结论：通过这个案例，我们希望外科医生能够更多地了解阑尾动脉的解剖结构，了解阑尾副动脉的可能性。手术期间,供应阑尾的血管应该仔细探索，应该避免“一刀切”的做法。此外，应注意阑尾切除术后的并发症，并及时对症治疗。关键点1.罕见分型：目前未报道有三条阑尾动脉患者在阑尾切除术中因副阑尾动脉处理不当而死亡的病例。2.详细的解剖学知识：进行阑尾切除术的外科医生需要对阑尾的血管供应进行详细的探索，以避免忽略解剖学上不同的血管。3.避免一刀切的方法：在手术过程中，应避免“一刀切”的做法，也就是说,不应该在所有情况下都使用相同的手术方法，但应根据个体的解剖特征进行调整。4.术后出血的观察：围手术期，应密切观察腹腔引流。如果发现大量的血液,应及时进行手术治疗。5.注意并发症：外科医生应该付费。
方法：一名50岁男子接受了阑尾切除术。在手术过程中,阑尾动脉和阑尾的两个副动脉被切断，导致腹腔大量出血，这最终导致了病人不幸的死亡。
结论：通过这个案例，我们希望外科医生能够更多地了解阑尾动脉的解剖结构，了解阑尾副动脉的可能性。手术期间,供应阑尾的血管应该仔细探索，应该避免“一刀切”的做法。此外，应注意阑尾切除术后的并发症，并及时对症治疗。关键点1.罕见分型：目前未报道有三条阑尾动脉患者在阑尾切除术中因副阑尾动脉处理不当而死亡的病例。2.详细的解剖学知识：进行阑尾切除术的外科医生需要对阑尾的血管供应进行详细的探索，以避免忽略解剖学上不同的血管。3.避免一刀切的方法：在手术过程中，应避免“一刀切”的做法，也就是说,不应该在所有情况下都使用相同的手术方法，但应根据个体的解剖特征进行调整。4.术后出血的观察：围手术期，应密切观察腹腔引流。如果发现大量的血液,应及时进行手术治疗。5.注意并发症：外科医生应该付费。
