%0 Journal Article
%T Appendicitis as a cause of intestinal strangulation: a case report and review
%A Laxminarayan Bhandari
%A PG Mohandas
%J World Journal of Emergency Surgery
%D 2009
%I BioMed Central
%R 10.1186/1749-7922-4-34
%X We report a case of a 24 year old male presenting with classical features of intestinal obstruction. On laparotomy strangulated bowel was seen and appendix was found to be the cause. Although we obtained a history of appendicitis in this patient, it was not correlated to the present condition due to the rarity of such a scenario. We reviewed literature to find similar cases reported in the past.Intestinal obstruction is a common surgical emergency caused by varied conditions. Appendix as a cause of intestinal obstruction is uncommon and not usually suspected. Although it was described as early as 1901, very few reports are available which do a comprehensive review [1]. Intestinal strangulation caused by appendix is extremely rare with very few cases reported. Pre-operatively it is very difficult to diagnose this condition. The diagnosis is always made at the time of laparotomy. The treatment varies from appendicectomy to intestinal resection or even right hemicolectomy.We are reporting a case of intestinal strangulation caused by appendicitis, for which appendicectomy was done. This is a very rare complication of an extremely common disease. We reviewed the literature to find out about appendix producing intestinal obstruction in general and intestinal strangulation in particular.We have included a comprehensive discussion about appendicitis producing intestinal obstruction with regards to its various pathological types, different clinical presentations, diagnosis and management.A 24 year old man presented with on and off fever and diffuse abdominal pain since one week. He also had constipation, vomiting and abdominal distention since two days.He was apparently normal a week ago when he developed abdominal pain for which he visited a peripheral hospital. An Ultrasonography (USG) abdomen was done, which revealed the possibility of a mild appendicular inflammation. He was treated with oral antibiotics and analgesics following which his abdominal pain subsided. Few day
%U http://www.wjes.org/content/4/1/34