Appendicular band syndrome mimicking appendicular mass in an adult

Authors

  • Amol Deshpande Sanjeevan Multispecialty and Research Center, Yavatmal, Maharashtra-445001
  • Swapnil Madankar Sanjeevan Multispecialty and Research Center, Yavatmal, Maharashtra-445001
  • Vijay Kawalkar Sanjeevan Multispecialty and Research Center, Yavatmal, Maharashtra-445001
  • Vijay B. Kanake Sanjeevan Multispecialty and Research Center, Yavatmal, Maharashtra-445001

Keywords:

Appendicular band, Knot, Appendicular mass, Strangulation

Abstract

Appendicular band syndrome is an exceedingly rare surgical emergency that may lead to intestinal obstruction and strangulation. We report a case of 28 years old male who presented with acute intestinal obstruction with a mass in right iliac fossa (RIF). At exploration, an inflamed appendix had entrapped a loop of terminal ileum leading to its strangulation and gangrene. The appendectomy and resection of gangrenous gut were done with ilio-ileal anastomosis.

References

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Assenza M, Ricci G, Bartolucci C, Modini C. Mechanical small bowel obstruction due to inflamed appendix wrapping around the last loop of ileum. G Chir. 2005;26(6/7):261-6.

Yang AD, Lee CH. Appendico-ileal knotting resulting in close loop obstruction in a child. Paediatr.Radiol. 2002;32(12):879-81.

Bose SN, Talwar BL. Appendicitis causing acute intestinal obstruction with strangulation. Aust NZ J Surg. 1973;43(1):56-7.

Chintamani, Khanna J. Appendicular Knot - An Exceptionally rare “Two in One Case” of Acute Abdomen.Saudi J Gastroenterol. 2011;17(5):368.

Bilal M, Mohammed S. Appendicular band syndrome simulating appendicular mass in a child. APSP J Case Rep. 2014;5(3):21.

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Published

2016-12-13

Issue

Section

Case Reports