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. 2009 Nov 28:2:9106.
doi: 10.1186/1757-1626-2-9106.

Acute appendicitis presenting as small bowel obstruction: two case reports

Sanjay Harrison  1 , Kamal Mahawar, Dougal Brown, Leslie Boobis, Peter Small
Affiliations

Acute appendicitis presenting as small bowel obstruction: two case reports

Sanjay Harrison et al. Cases J. .

Abstract

Acute appendicitis is a common surgical problem however the diagnosis is often overlooked when it presents as a small bowel obstruction. In this report we present two cases of elderly patients who presented with small bowel obstruction and raised inflammatory markers. Both patients were successfully treated with a laparotomy, adhesiolysis and appendicectomy and went on to make a good recovery.

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Figures

Figure 1
Figure 1
Abdominal X-ray of patient 1 showing dilated loops of small bowel.
Figure 2
Figure 2
Abdominal CT image of patient 1. This image shows the presence of an inflammatory process in the right iliac fossa (green arrow).
Figure 3
Figure 3
Abdominal X-ray of patient 2 showing evidence of small bowel obstruction.
Figure 4
Figure 4
CT of the abdomen of patient 2 showing the inflamed appendix (green arrow).
See this image and copyright information in PMC

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