Vascular complications during appendectomy: severe adhesion of the appendix to the right iliac artery: a case report.


Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
04 Oct 2024
Historique:
received: 15 06 2024
accepted: 31 08 2024
medline: 4 10 2024
pubmed: 4 10 2024
entrez: 4 10 2024
Statut: epublish

Résumé

Appendicitis is a common cause of acute abdomen. Rarely, it may form adhesions to nearby structures, complicating surgeries, especially when involving vascular structures such as the internal iliac artery, potentially causing severe intraoperative hemorrhage. A 65-year-old Middle Eastern male presented with abdominal pain and anorexia for 5 days. Examination and imaging confirmed acute appendicitis with complications. Additionally, a large pelvic mass was noted. During surgery, severe bleeding was encountered due to an adhesion between the appendix and the right internal iliac artery, managed by ligating the artery. The patient recovered well and was discharged in stable condition. Histopathology confirmed the diagnosis. This case highlights a rare vascular complication of appendectomy due to abnormal adhesions between the appendix and the internal iliac artery, associated with a large pelvic mass. This study emphasizes the need for thorough preoperative evaluation and careful surgical planning in patients with unusual anatomical variations or specific underlying conditions such as neurofibromatosis. Early recognition and strategic management of vascular adhesions are essential to optimize patient outcomes in appendectomies complicated by such rare scenarios.

Identifiants

pubmed: 39363386
doi: 10.1186/s13256-024-04794-8
pii: 10.1186/s13256-024-04794-8
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

460

Informations de copyright

© 2024. The Author(s).

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Auteurs

Ahmad Hosseinzadeh (A)

Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Hoora Rezaeibana (H)

Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Mohammadreza Khosravi (M)

Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.

Armin Sourani (A)

Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Hadis Yazdanshenas (H)

Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran.

Reza Shahriarirad (R)

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. r.shahriari1995@gmail.com.

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