- ISSN: 1999-7086
- E-ISSN: 1999-7094
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oa Appendiceal Tourniquet, an extremely rare condition with an equally rare presentation: A case report and an integrative review
- Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2022, Issue 4, نوفمبر ٢٠٢٢, 20
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- ٠٩ مارس ٢٠٢٢
- ٢٣ مايو ٢٠٢٢
- ٠٧ يوليو ٢٠٢٢
ملخص
Small bowel obstruction is a common surgical emergency and needs timely intervention to prevent the development of complications. Acute appendicitis is a very rare, uncommon, and unnoticed cause of intestinal obstruction. Although functional obstruction due to paralytic ileus is common in acute appendicitis, mechanical obstruction is a fairly uncommon complication of this extremely prevalent disease. Furthermore, a normal appendix causing full-blown small bowel obstruction due to the tourniquet effect on the terminal ileum is exceptionally rare and the diagnosis is often overlooked. This work report on an extremely rare case of mechanical small bowel obstruction caused by a normal appendix forming tourniquet around an ileum loop. A 40-year-old male patient presented with clinical manifestations of small bowel obstruction, and the appendiceal tourniquet was discovered to be the cause during laparotomy. The patient was subjected to an appendectomy. The histopathological examination of the specimen reported normal appendiceal morphology. The case is unique in that it is the first report of a mechanical small bowel obstruction caused by an appendiceal tourniquet with normal histopathology.
