Delayed treatment of appendectomy that causes systemic inflammatory response syndrome: a rare complication

Ayten Saracoglu, Kemal Tolga Saracoglu, Belkis Aylu, Vural Fidan

.

DOI: 10.4236/health.2011.32021                

Abstract

When acute appendicitis is present and lately treated, further complications will occur against patients. This case report describes an unusual presentation of acute appendicitis in a young patient and demonstrates a unique late compli- cation of perforated appendicitis. A 15 year old female acute appendicitis patient had lapara- tomy accompanied systemic inflammatory re- sponse syndrome (SIRS) symptoms. After treatment of 6 days in the intensive care unit (ICU), the patient was healed. We emphasize the importance of early treatment for acute appen- dicitis and septic complications.

Keywords

Sepsis; SIRS, Apendectomy; Apses; Complication

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Hsieh, C.H., Wang, Y.C. and Yang, H.R. (2007) Retroperito- neal abscess resulting from perforated acute appendicitis: analysis of its management and outcome. Surgery Today, 37, 762-767. doi:10.1007/s00595-006-3481-5
[2]	Nichols, R.L. (1989) The treatment of intraabdominal infec- tions in surgery. Diagnostic Microbiology and Infectious Disease, 12, 195-199. doi:10.1016/0732-8893(89)90136-3
[3]	Bone, R.C. Balk, R.A. Cerra, F.B., Dellinger, R.P., Fein, A.M., Knaus, W.A., Schein, R.M. and Sibbald, W.J. (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest, 101, 1644-1655.
[4]	Klempa, I. (2002) Current therapy of complicated appendicitis. Chirurg, 73, 799-804. doi:10.1007/s00104-002-0502-9
[5]	Nozoe, T., Matsumata, T. and Sugimachi, K. (2002) Significance of SIRS score in therapeutic strategy for acute appendicitis. Hepatogastroenterology, 49, 444-446.
[6]	Calder, J.D. and Gajraj, H. (1995) Recent advances in the diagnosis and treatment of acute appendicitis. British Journal of Hospital Medicine, 54, 129-133.
[7]	Khristov, K., Bo?cheva, A. and Kostova, S. (1990) Subphrenic abscess and suppurative pericarditis as complications in children with perforated appendicitis. Khirurgiia, 43, 21-24.
[8]	Vanamo, K. and Kiekara, O. (2001) Pylephlebitis after appendicitis in a child. European Journal of Pediatric Surgery, 36, 1574-1576.
[9]	Schultz, A., J?rgensen, P.M. and J?rgensen, S.P. (1983) Septic complications after appendicectomy for perforated appendicitis. A controlled clinical trial metronidazole and topical ampicillin. Acta Chir Scand, 149, 517-520.
[10]	Fanning, D.M., Barry, M. and O'Brien, G.C. (2007) Perforated retrocaecal appendix presenting as right lumbar abscess. Irish Journal of Medicine Sciences, 176, 125-128. doi:10.1007/s11845-007-0040-z
[11]	Mentefi, O., Zeybek, N. and Oysul, A. (2008) Stump appendicitis, rare complication after appendectomy: report of a case. Turkish Journal of Trauma & Emergency Surgery, 14, 330-332.