Inflamed Appendix Protruding Through a Right Broad Ligament Defect: A Case Report.

Autor:	Symeonidou E; 5th Department of Surgery, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC.; School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC., Gkoutziotis I; 5th Department of Surgery, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC.; School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC., SidiropouIou MS; Department of Radiology, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC., Gouta C; Department of Pathology, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC., Gianna K; Department of Pathology, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC., Mpallas K; 5th Department of Surgery, Ippokrateio General Hospital of Thessaloniki, Thessaloniki, GRC.; School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 24; Vol. 16 (7), pp. e65252. Date of Electronic Publication: 2024 Jul 24 (Print Publication: 2024).
DOI:	10.7759/cureus.65252
Abstrakt:	The protrusion of the appendix through a broad ligament defect suggests an extremely rare clinical entity, especially when the clinical manifestation of this condition is acute appendicitis. The current article presents a case of a 23-year-old female who presented to the emergency department with right lower abdominal pain and nausea, accompanied by elevated white blood cell count. Imaging performed, both ultrasound and computed tomography, reported acute appendicitis, without evidence of a broad ligament defect. During exploratory laparoscopy, the defect was identified, the appendix was retrieved and ligated and sutures were applied to the defect. The postoperative course of treatment was uneventful, and pathology confirmed inflammation of the appendix and also revealed a small neuroendocrine tumor. The value of emergency laparoscopy for the diagnosis of this rare condition and the therapeutic management which involves the closure of the defect to prevent future internal hernia are issues highlighted in this article. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Symeonidou et al.)
Databáze:	MEDLINE
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