The Clinical Syndrome of Subileus due to Appendicular Artery Thrombosis (In Child) (Case study)

Petraq Mustaqe


This is the complicated case of an 18-month child entering the regional hospital of Vlore with signs of intestinal obstruction, initially with abdominal pains, vomits, distinct meteorism and last defecation with liquid content in cherry color. Considering the medical tests results (leukocytosis 22.000), the abdominal roentgenography with central hydroaeric levels, the continuous pain and the last rectal examination showing a liquid content in cherry color, after an extended consultation, the case was evaluated as an ileocecal invagination with signs of initial peritonism. However, the laparotomy showed gangrenous acute appendicitis (appendicitis acuta gangrenosa) with thrombosis of appendicular artery. The best solution for this case, following a full review of the abdomen, was that of a typical appendectomy. The histological examination confirmed the appendicular artery thrombosis. Enterococcal infection. Such complicated clinical cases have been considered even by other others.

Key words: subocclusion, arterial thrombosis, appendicitis, rectal examination, enterococcus.

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