Complete small intestinal obstruction due to band formation in low-grade appendiceal mucinous neoplasm: A rare case report and literature review

被引:1
作者
Gupta, Prahlad [1 ]
Mishra, Amit Kumar [1 ]
Deo, Anshu [1 ]
Yadav, Radheshyam [1 ]
Milan, K. C. [2 ]
Bhattarai, Abhishek [2 ]
机构
[1] Tribhuvan Univ, Inst Med, Maharajgunj Med Campus, Kathmandu, Nepal
[2] Tribhuvan Univ Teaching Hosp, Dept Gen Surgey, Kathmandu, Nepal
关键词
Low-grade appendiceal mucinous neoplasm; Intestinal obstruction; Appendiceal neoplasm; Band; CONSENSUS; MUCOCELE;
D O I
10.1016/j.ijscr.2023.108422
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Intestinal obstruction due to external compression is a rare condition, and those caused by appendiceal neoplasms like low-grade appendiceal mucinous neoplasms are extremely rare. Presentation of case: A 67-year-old post-menopausal female, with no history of prior abdominal surgery, presented to the emergency room with constipation for 2 days, and peri-umbilical pain and non-projectile bilious vomiting for 19 h. There was mild abdominal distension and diffuse tenderness. After ultrasonography and Computed Tomography (CT) of the abdomen and pelvis, a provisional diagnosis of complete small bowel obstruction secondary to perforated mucinous neoplasm of the appendix was made. An emergency exploratory laparotomy was performed followed by ileo-cecal resection and ileocolic anastomosis. Intraoperative findings revealed bands extending from the appendix to the ileum forming a closed loop with gangrenous spots in the distal ileum and ascitic fluid with mucin. Later, histopathological examination findings were consistent with low-grade appen-diceal mucinous neoplasm (LAMN). Discussion: We reviewed three cases of intestinal obstruction, caused by compression from a LAMN, including the presented case. Preoperative diagnosis of the cause of small intestinal obstruction on CT is sometimes chal-lenging. Hence, in patients with intestinal obstruction with a transition point in the right lower quadrant of the abdomen on CT, a high index of suspicion for an appendiceal etiology is required. Conclusion: LAMN with an associated band should be considered as one of the differential diagnoses in the patient presenting with symptoms of complete small intestinal obstruction without prior abdominal surgery.
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相关论文
共 12 条
[1]   The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines [J].
Agha, Riaz A. ;
Borrelli, Mimi R. ;
Farwana, Reem ;
Koshy, Kiron ;
Fowler, Alexander J. ;
Orgill, Dennis P. ;
Zhu, Hongyi ;
Alsawadi, Abdulrahman ;
Noureldin, Ashraf ;
Rao, Ashwini ;
Enam, Ather ;
Thoma, Achilleas ;
Bashashati, Mohammad ;
Vasudevan, Baskaran ;
Beamish, Andrew ;
Challacombe, Ben ;
De Wilde, Rudy Leon ;
Machado-Aranda, David ;
Laskin, Daniel ;
Muzumdar, Dattatraya ;
D'cruz, Anil ;
Manning, Todd ;
Healy, Donagh ;
Pagano, Duilio ;
Goel, Prabudh ;
Ranganathan, Priya ;
Pai, Prathamesh S. ;
Raja, Shahzad ;
Athe, M. Hammad ;
Kadioazlu, Huseyin ;
Nixon, Iain ;
Mukherjee, Indraneil ;
Gomez Riva, Juan ;
Raveendran, Kandiah ;
Derbyshire, Laura ;
Valmasoni, Michele ;
Chalkoo, Mushtaq ;
Raison, Nicholas ;
Muensterer, Oliver ;
Bradley, Patrick ;
Roberto, Coppola ;
Afifi, Raafat ;
Rosin, David ;
Klappenbach, Roberto ;
Wynn, Rolf ;
Giordano, Salvatore ;
Basu, Somprakas ;
Surani, Salim ;
Suman, Paritosh ;
Thorat, Mangesh .
INTERNATIONAL JOURNAL OF SURGERY, 2018, 60 :132-136
[2]  
Carr NJ, 2016, AM J SURG PATHOL, V40, P14, DOI 10.1097/PAS.0000000000000535
[3]  
Chong S.J., 2001, MUCINOUS CYSTADENOMA
[4]   Appendicular Tourniquet: A Cause of Intestinal Obstruction [J].
Chowdary, Prashanth Basappa ;
Shivashankar, Santhosh Chikkanayakanahalli ;
Gangappa, Rajashekara Babu ;
Varghese, Edison Vadakkenchery .
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016, 10 (05) :PD9-PD11
[5]   A Rare Case of Low-grade Appendiceal Mucinous Neoplasm: A Case Report [J].
Gonzalez, Hector H. ;
Herard, Kimberly ;
Mijares, Maria C. .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2019, 11 (01)
[6]   Low-grade appendiceal mucinous neoplasms with bowel obstruction [J].
Houlze-Laroye, Constance ;
Eveno, Clarisse .
PLEURA AND PERITONEUM, 2019, 4 (03)
[7]   Intestinal obstruction caused by low-grade appendiceal mucinous neoplasm: A case report and review of the literature [J].
Komo, Toshiaki ;
Kohashi, Toshihiko ;
Hihara, Jun ;
Oishi, Koichi ;
Yoshimitsu, Masanori ;
Kanou, Mikihiro ;
Nakashima, Akira ;
Aoki, Yoshirou ;
Miguchi, Masashi ;
Kaneko, Mayumi ;
Mukaida, Hidenori ;
Hirabayashi, Naoki .
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2018, 51 :37-40
[8]   Intestinal strangulation caused by a mucocele of the appendix: report of a case [J].
Miyakura, Yasuyuki ;
Yokota, Shinichiro ;
Horie, Hisanaga ;
Togashi, Kazutomo ;
Lefor, Alan ;
Yasuda, Yoshikazu ;
Fukushima, Noriyoshi .
SURGERY TODAY, 2012, 42 (12) :1215-1218
[9]   Intestinal obstruction secondary to appendiceal mucocele [J].
Mourad, FH ;
Hussein, M ;
Bahlawan, M ;
Haddad, M ;
Tawil, A .
DIGESTIVE DISEASES AND SCIENCES, 1999, 44 (08) :1594-1599
[10]  
O'Connell PR., 2023, Bailey love's short practice of surgery