ACUTE MECHANICAL LOW-GRADE SMALL BOWEL OBSTRUCTION IN A 53-YEAR-OLD MAN

Yu.M. MIKHEL, Ya.N. ZBORIVSKY, V.P. FEDORENKO, O.I. MYTSYK, Yu.H. OREL

Анотація


Aim: To improve the diagnosis and treatment outcomes of
acute appendicitis and its complications.
Methods: The diagnosis and management of acute
appendicitis complicated with an appendicular infiltrate
and mechanical small bowel obstruction in a 53-year old
patient were analyzed.
Results: The patient was treated with spasmolytic agents
for 4 days as an outpatient with no effort to diagnose the
most common form of acute abdomen, acute appendicitis.
The diagnosis of acute destructive pancreatitis, with
dynamic paralytic ileus and anuria, which did not fit the
clinical picture, duration, and clinical course, as well as
the results of laboratory tests, was made in the surgical
department of a central regional hospital. Only by standard
examination of the patient in the surgical department of the
Lviv regional hospital was the diagnosis of acute destructive
appendicitis, appendicular infiltrate, and mechanical small
bowel obstruction made, which was then later confirmed
during surgery.
Conclusion: Alcohol consumption and use of a spasmolytic
drug during 4 days of outpatient treatment and late
hospitalization in the surgical department of a central
regional hospital complicated the diagnosis of the most
common form of acute abdomen, acute appendicitis. Only
by performing the standard patient examination in the
surgical department of the Lviv regional hospital was the
diagnosis of acute destructive appendicitis, appendicular
infiltrate, and mechanical small bowel obstruction made,
which was then later confirmed during surgery.
Key words: acute appendicitis, appendicular infiltrate, acute
obstructive mechanical ileus, diagnosis, management

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