Complicated to operate case of appendicitis: A rare incident

Abstract

Introduction: Appendicitis is an appendix inflammation that’s severe. It affects people of all ages but is most common between the ages of 10 to 30, and both men and women are afflicted equally. Appendicitis is substantially less common in developing nations, particularly regions of Africa, and among lower socioeconomic levels.

Clinical Findings: Pain in the right iliac fossa, nausea, vomiting.

Diagnostic Evaluation: Blood test: Hb-14.5 gm%, Total RBC count-4.5 millions/cu mm, Total WBC count-8000/cu mm, Total Platelet count-2.5 lac/cu mm, Albumin-4.1 gm%, Bilirubin (conjugated)-0.4 gm%, Bilirubin(unconjugated)-1.1 gm%. On a CT scan of the abdomen and pelvis, an abnormal appendix (diameter >6 mm) was discovered, or a calcified appendices eolith was discovered in conjunction with peri appendiceal inflammation and fat stranding.

Therapeutic Intervention: Inj. Amoxicillin 500 mg x OD, Tab. Emset 4mg x TDS, Inj. Tramadol 100 mg x TDS, Tab. Limcee 500 mg x OD, Tab. Pantoprazole 40 mg x OD.

Outcome: After treatment, the patient’s condition improved. His pain is relieved, and now the patient is good.

Conclusion: My patient was admitted with the complaint of pain in the right iliac fossa, nausea and vomiting. Diagnosis confirmed the case of Appendicitis. After getting the proper treatment, the patient’s condition got improved.