Presentation
Right iliac fossa pain for seven days associated with nausea, vomiting, constipation and high inflammatory markers.
Patient Data
Dilated appendix with a maximum diameter of 12 mm showing a fluid-filled lumen and thick enhanced walls. Minimal reactionary pelvic free fluid. No phlegmon or abscess formation. No evidence of perforation.
Diagnosis was made as acute appendicitis.
Otherwise, normal.
Operative notes:
10 mm and two 5 mm ports
diagnostic laparoscopy showed a thick inflamed appendix with a little free fluid in the pelvis
the rest of the laparoscopy was normal
total intracorporeal laparoscopic appendectomy was done
suction and irrigation
appendix was removed through the umbilical port
port wounds were closed
skin was closed
Case Discussion
This is a simple, straightforward case of non-complicated acute appendicitis in which the appendix shows a mucus-filled distended lumen. No evidence of phlegmon or abscess formation and no evidence of perforation.
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