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   PDF    HTML     5,643 Downloads   10,300 Views  


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.

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Saracoglu, A. , Saracoglu, K. , Aylu, B. and Fidan, V. (2011) Delayed treatment of appendectomy that causes systemic inflammatory response syndrome: a rare complication. Health, 3, 116-117. doi: 10.4236/health.2011.32021.

Conflicts of Interest

The authors declare no conflicts of interest.


[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.

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