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dc.contributor.authorDonovan, Amy
dc.contributor.authorTabone, Renee
dc.contributor.authorYuide, Peter J
dc.contributor.authorChua, Terence C
dc.date.accessioned2020-01-13T00:13:43Z
dc.date.available2020-01-13T00:13:43Z
dc.date.issued2020
dc.identifier.issn0004-8682
dc.identifier.doi10.1111/ans.15678
dc.identifier.urihttp://hdl.handle.net/10072/390120
dc.description.abstractA 55‐year‐old female who was recently treated conservatively for appendicitis with phlegmon formation 4 months ago re‐presented to hospital with lower abdominal pain, nausea and vomiting. She recently had a colonoscopy and is currently awaiting interval appendicectomy. Her past medical history includes treated hepatitis C secondary to blood transfusion in the 1980s. On examination, her observations and laboratory parameters were within normal limits. On palpation, she had lower abdominal tenderness without guarding. Contrast‐enhanced computed tomography imaging demonstrated thick‐walled small bowel loops in the pelvis with a small amount of intra‐abdominal free fluid. The peri‐appendiceal phlegmon seen on previous computed tomography imaging had resolved (Fig. 1). A diagnostic laparoscopy was performed that demonstrated obvious small bowel obstruction. The transition point arose from the fibrous appendix that had adhered posteriorly into the retroperitoneum creating a bridge where terminal ileum herniating under this bridge became obstructed (Fig. 2). An appendicectomy was performed (Fig. 3). The patient was observed overnight in hospital and discharged the next day. Histopathological examination of the specimen confirmed a non‐inflamed appendix with fibrous obliteration. Informed consent was obtained from the patient to present this case.
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.publisher.placeAustralia
dc.relation.ispartofjournalANZ Journal of Surgery
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.titleSmall bowel obstruction from an appendiceal tie
dc.typeJournal article
dc.type.descriptionC2 - Articles (Other)
dcterms.bibliographicCitationDonovan, A; Tabone, R; Yuide, PJ; Chua, TC, Small bowel obstruction from an appendiceal tie., ANZ Journal of Surgery, 2020
dcterms.dateAccepted2019-12-19
dc.date.updated2020-01-12T23:30:52Z
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.hasfulltextNo Full Text
gro.griffith.authorYuide, Peter J.
gro.griffith.authorChua, Terence


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