The obstruction to the third part of duodenum due to appendicular abscess is reported here. The abscess had tracked behind the mesocolon and obstructed the duodenum. The case was treated by drainage of abscess and anterior gastrojejunostomy.
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Cureus
December 2024
General Surgery, Sri Devaraj Urs Medical College, Kolar, IND.
Introduction Acute appendicitis is a common surgical emergency that requires a timely and accurate diagnosis to prevent complications. Several laboratory markers have been assessed to improve the diagnostic accuracy of acute appendicitis, including C-reactive protein (CRP), white blood cell (WBC) count, and cytokines like interleukins and tumor necrosis factor-alpha. One less commonly used but potentially valuable marker is the mean platelet volume (MPV), which indicates the size of circulating platelets and has the potential to serve as a biomarker for inflammatory conditions.
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December 2024
Department of General Surgery of the General University Hospital of León, Guanajuato, Mexico; Faculty of Medicine of the University of Guanajuato, León.
Introduction: Surgical instrument retention continues to occur despite considerable preventive efforts. The resulting infection can be asymptomatic or demonstrate variable clinical presentations, such as intestinal obstruction, malnutrition, gastrointestinal bleeding, peritonitis, adhesions, fistulas, abscesses, erosion and/or intestinal perforation. In this case report, we present a patient whose last surgical event occurred 22 years prior with appendicular symptoms and a palpable abdominal mass.
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October 2024
Prince Saud Bin Jalawi Hospital, Alahsa, Saudi Arabia.
Acute appendicitis is a common surgical emergency, affecting 7%-10% of people worldwide, whereas appendicular diverticulosis is rare, occurring in 0.004%-2.1% of appendectomy cases and often mimicking appendicitis symptoms.
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September 2024
Department of Surgery, Beaumont Hospital, Dublin, IRL.
Subhepatic appendicitis is an unusual presentation of acute appendicitis (AA). Similarly, another uncommon condition that resembles AA is appendiceal diverticulitis (AD), which is a rare form of vermiform appendix pathology. It is exceedingly uncommon for the two to occur simultaneously.
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September 2024
Department of General Surgery, Juntendo University Nerima Hospital, Tokyo, JPN.
An 82-year-old man presented to our emergency department with a bulge in the right groin and worsening pain that had been present for one week. An abdominal computed tomography scan revealed fluid collection within a right inguinal hernia and a thickened appendix within the hernia sac. The patient underwent an emergency laparoscopic appendectomy under a diagnosis of Amyand's hernia with peri-appendicular abscess.
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