Drain Appendicitis: A Bewildering Anecdote

Ravinder P Singh, Tanudeep Kaur and Sripurna Dutta

1Center for Liver Transplant and Gastro Sciences, Saroj Super Specialty Hospital, India
2Department of Obstetrics and Gyaenecology, All India Institute of Medical Sciences, India

^*Correspondance to: Ravinder P Singh 

 PDF  Full Text DOI: 10.25107/2474-1647.2204

Abstract

Background &
Aim: Appendicitis is one of the most common conditions seen by surgeons. It has many causes described in the literature with varied presentations and long list of differential diagnosis. We herein report our experience of a unique case of drain appendicitis in the postoperative period, its distinctive cause, mode of presentation and management.Materials and
Methods: This unique case of acute appendicitis was caused due to herniation of appendix in the abdominal drain. Its cause was unique, with distinctive presentation and management.Results: Herniation of appendix in the drain via its side holes along with kinking and constriction of appendicular mesentery can pose unique set of problems and can present with acute abdomen in the postoperative period. It can rapidly cause downhill course of the patient if not diagnosed correctly and at correct time. Appendectomy can be curative for such condition.Conclusion: This paper presents a unique case scenario with bewildering presentation of acute appendicitis caused due to herniation of appendix into abdominal drain, diagnosis of which if delayed can catastrophic. The cause of this drain appendicitis is well defined, though its presentation and diagnosis can be challenging.

Keywords

Appendix; Appendicitis; Acute appendicitis; Postoperative appendicitis

Cite the article

Singh RP, Kaur T, Dutta S. Drain Appendicitis: A Bewildering Anecdote. Clin Surg. 2018; 3: 2204.