Catastrophic appendicitis operation, successful repair in tertiary limited resources hospital: A case report.

Autor:	Syahputra DA; Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Syiah Kuala University, Dr. Zainoel Abidin Hospital, Banda Aceh, Aceh, Indonesia., Isa MM; Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Syiah Kuala University, Dr. Zainoel Abidin Hospital, Banda Aceh, Aceh, Indonesia., Jailani M; Plastic Surgery Division, Department of Surgery, Faculty of Medicine, Syiah Kuala University, Dr. Zainoel Abidin Hospital, Banda Aceh, Aceh, Indonesia.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2021 Jan 05; Vol. 62, pp. 13-15. Date of Electronic Publication: 2021 Jan 05 (Print Publication: 2021).
DOI:	10.1016/j.amsu.2020.12.034
Abstrakt:	Introduction: Acute appendicitis is one of the most common surgical diseases. Perforated appendicitis resulting in catastrophic complication because of a burst abdomen with necrotizing fasciitis of the abdominal wall is exceedingly a rare case. Presentation of Case: A 13-year-old girl with perforated appendicitis who had undergone laparotomy had to experience a burst abdomen with necrotizing fasciitis of the abdominal wall. The patient has temporarily closed the abdominal cavity with a urine bag (modified Bogota bag). After 23 times replacement of the Bogota bag and the condition of the sepsis and nutrition had improved, the abdominal wall reconstruction was performed by carrying out two random rotational flaps to close the abdominal defect. One year later, the patient came for ileocolostomy closure; then the patient was sent home with uneventful condition. Discussion: Perforated appendicitis is a type of acute appendicitis with a low morbidity rate. Compared to other complications, burst abdomen and necrotizing fasciitis (NF) in perforated appendicitis are exceptionally rare events. Surgery with sepsis and recurrent intra-abdominal abscesses as a result of previous surgery are the causes of burst abdomen. The use of abdominal drainage has also been shown to cause NF. Both of these conditions will increase the cost and length of stay, and reduce the quality of life. The rotational flap procedure is the procedure of choice for a large burst abdomen. Conclusion: Surgeons should and have to perform a meticulous operation to prevent catastrophic complication and to increase the quality of life. Competing Interests: The authors declare that there is no conflict of interest regarding publication of this paper. (© 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
Databáze:	MEDLINE
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