Mechanical small bowel obstruction due to acute appendicitis: A case report and literature review

Case Report: A 58-year-old female presented with a 4-day history of lower abdominal pain, loss of appetite and diarrhoea. Her past medical history included a partial salpingectomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy and abdominal sacrocolpoplexy. On examination, she was tender across the lower abdomen, with voluntary guarding. Her blood results showed elevated inflammatory markers. Being treated conservatively for presumed acute diverticulitis, she progressed to develop vomiting, and abdominal computed tomography (CT) showed findings consistent with small bowel obstruction with a transition point in the right iliac fossa.
Source: International Journal of Surgery - Category: Surgery Authors: Source Type: research