ARROSIVE BLEEDING FROM THE APPENDICULAR ARTERY IN ACUTE DESTRUCTIVE APPENDICITIS

  • A. V. Kapshitar
  • A. A. Kapshitar
Keywords: appendicitis, bleeding, operative surgical proce.

Abstract

Summary. Objective of the study: to present to the surgical community a rather rare complication of severe destructive appendicitis – arrosive bleeding and the cause of its development.

Material and methods. Published a rare clinical case from prac-tice — the development of perforation of the appendix and arrosive bleeding from the appendicular artery in a patient with acute gangrenous appendicitis.

Results and its discussion. The atypical course of acute appendicitis of undulating nature under the mask of acute adnexitis and antibacterial therapy has led to a prolonged delay with surgery in the surgical department. Only the appendicular abscess, which spontaneously opened into the abdominal cavity, made it possible to diagnose acute appendicitis and determine indications for emergency surgery, during which arrosive bleeding was diagnosed. The favorable outcome of the disease is due to the local purulent-necrotic process and small hemoperitoneum.

Findings. Timely diagnosis of acute appendicitis, with the involvement of additional research methods in unclear cases, and subsequent appendectomy, are the prevention of a rather rare complication — arrosive bleeding from the appendicular artery in the development of severe complicated forms of acute destructive appendicitis.

References

1. Zavgorodnij SN, Kubrak MA, Rylov AI, Daniluk MB, Simnyaya GM. Videolaparoskopicheskaya appendektomiya pri ostrom appendicite u pacientov pozhilogo i starcheskogo vozrasta. Suchasnі medichnі tekhnologії. 2018;3.72-7.
2. Zavgorodnij SN, Rylov AI, Kubrak MA, Daniluk MB, Naidenov OD, Grichenko GM. Opyt primeneniya laparoskopicheskoj appendektomii pri ostrom appendicite. Patologіya. 2016;3.43-7.
3. Pronіn VO, Bojko VV. Patologіya chervopodіbnogo vіdrostka ta apendektomіya. H.: SІM, 2007. 271 s.
4. Klіnіchnі protokoli nadannya medichnoї dopomogi (Hіrur-gіya): Normativne virobnicho-praktichne vidannya. K.: MNІAC medichnoї statistiki; MVC Medіnform, 2013. 240 s.
5. Kondratenko PG, Rusina VI. Neotlozhnaya hirurgiya organov bryushnoj polosti (klinicheskoe rukovodstvo). Doneck: Izdatel’ Zaslavskij A.YU., 2013.720 s.
6. Grinberga AA. Neotlozhnaya abdominal’naya hirurgiya (spravochnoe posobie dlya vrachej). M.: Triada-H, 2015. 496 s.
7. Savel’eva VS. Rukovodstvo po neotlozhnoj hirurgii organov bryushnoj polosti. M.: MIA, 2014. 544 s.
8. Kolesov VI. Klinika i diagnostika ostrogo appendicita. Leningrad: Medicina, 1972. 344 s.
9. Nikonov SA. Sluchaj probodayushchego vospaleniya cherveobraznogo otrostka s obil’nym krovotecheniem v bryushnuyu polost’. Russkij vrach. 1904;1.12-3.
10. Sedov VM. Appendicit. SPb.: Sankt-Peterburgskoe medicinskoe izdatel’stvo, 2002. 232 s.
Published
2021-03-20
How to Cite
Kapshitar, A. V., & Kapshitar, A. A. (2021). ARROSIVE BLEEDING FROM THE APPENDICULAR ARTERY IN ACUTE DESTRUCTIVE APPENDICITIS. Kharkiv Surgical School, (1), 133-136. https://doi.org/10.37699/2308-7005.1.2021.25
Section
CASE FROM PRACTICE