Cecal Perforation Secondary to Appendicitis-But not at the Base of Appendix
Ravi Shankar J C, Narayan Hebsur, Hosmani Ramesh, K N Praveen and Kumar Abhishek
World Journal of Medical and Surgical Case Reports 2016, 5:1
Acuteappendicitis is the most common surgical
emergency. It is associated with a variety of complications among which cecal
perforation is a rare and technically difficult condition. Usually cecum perforates
at the base of the appendix.
A 19 year old female came with complaints of fever and
vomiting since 5 days; and pain abdomen since 1 day. On examination, she was
toxic and had features of peritonitis. Radiological investigations confirmed the
presence of peritonitis. On exploration, appendix was found inflamed and
perforation was found at the posterior wall of cecum. Primary omental patch
repair was performed. Histopathology report confirmed that the perforation was
due to periappendicitis.
Cecal perforation, itself is a diagnostic and therapeutic challenge to all
surgeons and is associated with a high mortality. Here we sensitise the medical
fraternity to such a challenging case and the therapeutic options.
perforation, acute abdomen, right hemicolectomy