Laparoscopic repair of a Morgagni hernia is a well-described technique in children or adults who present well beyond the neonatal period. However, it is still most often being repaired by an open approach. This repair can be more challenging when a concomitant infectious process is present, which in this case was a perforated appendicitis. A 22-year-old man presented with typical appendicitis b...

Background: Appendiceal perforation in patients with acute appendicitis may cause a variety of potentially life-threatening complications. Escherichia coli endotoxin has been shown to impact physiological bile flow in vivo. This had led to the theory that hyperbilirubinemia and elevated CRP in patients with appendicitis may have a predictive potential for the preoperative diagnosis of appendice...

BACKGROUND Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. METHODOLOGY The medical records of 214 patients over the age of 60 years who had a pathologically confir...

Acute appendicitis after prior appendicectomy is highly difficult to diagnose, especially in face of definite history of appendicectomy and presence of appendicectomy scar in the right iliac fossa. We are highlighting a case report of a 40 year old woman who despite having had appendicectomy 2 years back presented with severe abdominal pain in the right iliac fossa in association with anorexia,...

Peptic ulcer perforation is the most common cause of pneumoperitoneum (75%). The rate of the perforation of acute appendicitis is 20-30% and the rate of its co-occurrence with pneumoperitoneum is 0-7%. In this report, a patient with sub-diaphragmatic free air due to perforated appendicitis.

Acute perforated appendicitis is described as a rare clinical entity in 20 days old male neonate presented clinically with features suggestive of peritonitis. Surgical exploration revealed perforated appendix with free fluid in peritoneal cavity. Appendectomy with general supportive measures resulted in a satisfactory recovery. Authors review their experience with this rare entity along with pe...

INTRODUCTION Although appendix duplication is diagnosed as a rare congenital anomaly of the alimentary tract in childhood, a few adult cases have also been reported. Here we report a case of appendix duplication with perforated appendicitis co-existing with acute appendicitis in an adult patient. CASE PRESENTATION A 33-year-old Caucasian man was admitted to our Emergency Department with right...

We report a case of neonatal perforated appendicitis presenting with an early picture of intestinal obstruction secondary to entrapment of small bowel under inflamed appendix vermiformis.