APPENDICEAL TIE SYNDROME: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION

Authors

  • Rohan Habib Department of Surgery, Ayub Medical College, Abbottabad-Pakistan
  • Zainab Zaib Department of Surgery, Ayub Medical College, Abbottabad-Pakistan
  • Muhammad Waqas Afzal Department of Surgery, Ayub Medical College, Abbottabad-Pakistan
  • Rameesha Habib Ayub Medical College, Abbottabad-Pakistan
  • Maha Wasim Department of Surgery, Ayub Medical College, Abbottabad-Pakistan
  • Muhammad Nauman Shah Afridi Department of Surgery, Ayub Medical College, Abbottabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-04-9649

Keywords:

Appendicular knot; Appendicular tie; Intestinal obstruction; Laparotomy; Appendectomy

Abstract

Acute appendicitis and intestinal obstruction are two common surgical emergencies. Acute appendicitis as a cause of closed-loop bowel obstruction is a rare surgical entity. The first case was reported in 1901 and since then only a few cases have been reported. We report an unusual case of a 25-year-old female who presented with the clinical picture of acute small bowel obstruction and was found to have an appendicular knot intraoperatively, through which a small bowel was herniating. The patient was managed via a midline laparotomy and appendectomy.

Author Biographies

Rohan Habib, Department of Surgery, Ayub Medical College, Abbottabad-Pakistan

 

Zainab Zaib, Department of Surgery, Ayub Medical College, Abbottabad-Pakistan

Clinical Profile and Outcome of Tetanus in Pediatric Intensive Care Unit

Muhammad Waqas Afzal, Department of Surgery, Ayub Medical College, Abbottabad-Pakistan

Clinical Profile and Outcome of Tetanus in Pediatric Intensive Care Unit

Rameesha Habib, Ayub Medical College, Abbottabad-Pakistan

 

Maha Wasim, Department of Surgery, Ayub Medical College, Abbottabad-Pakistan

 

Muhammad Nauman Shah Afridi, Department of Surgery, Ayub Medical College, Abbottabad-Pakistan

 

References

Donovan A, Tabone R, Yuide PJ, Chua TC. Small bowel obstruction from an appendiceal tie. ANZ J Surg 2020;90(9):1796–8.

Makama JG, Kache SA, Ajah LJ, Ameh EA. Intestinal obstruction caused by appendicitis: a systematic review. J West Afr Coll Surg 2017;7(3):94–115.

Duc PH, Xuan NM, Thuyet NH, Huy HQ. Intestinal obstruction due to acute appendicitis. Case Rep Gastroenterol 2020;14(2):346–53.

Awale L, Joshi BR, Rajbanshi S, Adhikary S. Appendiceal tie syndrome: A very rare complication of a common disease. World J Gastrointest Surg 2015;7(4):67–70.

Kifle AT, Tesfaye S. Appendico ilial knotting: a rare cause of small bowel obstruction. J Surg Case Rep 2018;2018(5):rjy088.

Khetarpal A, Khetarpal A. Case report--mechanical bowel obstruction with appendicitis without strangulation and leukocytosis. Ann Med Surg (Lond) 2021;63:102152.

Ali SM, Khalil IA, Mustafa S, Shah AA, Aftab Z, Al-Mudares S. Strangulated internal hernia through appendicular tourniquet/ring: Unusual cause of Intestinal Obstruction. Am J Case Rep 2020;21:e920384.

Malý O, Páral J. Appendicitis as a rare cause of mechanical small-bowel obstruction: A literature review of case reports. Int J Surg Case Rep 2016;29:180–4.

Al-Qallaf A, Shuaib A, Al-Sharaf K, Behbehani A. Acute appendicitis as a rare cause of mechanical small bowel obstruction case report. Qatar Med J 2017;2017(2):4.

Additional Files

Published

2023-12-23