Home|Journals|Articles by Year|Audio Abstracts
 

Case Report

Ann Med Res. 2016; 23(3): 336-338


An overlooked perforated appendicitis presenting with anal pus discharge

Yilmaz Bilgic, Asli Kum, Yasir Furkan Cagin, Yuksel Seckin, Murat Harputluoglu, Oguzhan Yildirim, Bulent Yaprak, Okan Yildirim, Sami Akbulut.




Abstract
Cited by 0 Articles

Acute appendicitis is the most common cause of emergency admissions all over the world. Perforation, abscess, plastron and fistula formation into adjacent organs are among the most serious complications of acute appendicitis. In the literature, many case reports have been published on colo-appendiceal fistula secondary to inflammatory bowel diseases and the development of diverticulitis. However, only a few case reports have been presented in colo-appendicular fistulisation secondary to complicated appendicitis. Here, we present a 46-year-old male patient who developed periappendicular abscess formation and sigmoid appendiceal fistula after appendix perforation. . In the colonoscopy upon pus discharge from the anus, purulent material in the lumen was observed about 25 cm proximal of the anal verge at the sigmoid colon with a view of external compression.Another interesting aspect of this patient is that the fistula mouth in the sigmoid colon, which could not be displayed during the operation, was spontaneously closed.

Key words: Appendicitis; Abscess formation; fistulization; sigmoido-appendiceal fistulization.






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.