Fathallah Mohaghegh,
Volume 11, Issue 1 (3-2008)
Abstract
Introduction: Primary appendiceal adenocarcinoma is rare (less than 250 cases described in the literature). In this article a case of appendiceal carcinoma with peritoneal seeding is reported. Case: The patient is a 38 years old man presented with pain, tenderness and rebound in the lower quadrant of the abdomen. These findings suggested acute appendicitis. Emergency laparotomy showed inflamed appendix, without adhesion to the surrounding tissue or perforation. Appendectomy was performed. The histologic diagnosis revealed a moderately differentiated appendiceal adenocarcinoma. The tumour had infiltrated up to serouca of the appendix. The patient was reffered to oncology center but due to refusing of patient for further evaluation, six months later he was admitted with dyspnea, abdominal pain and prorusion. Clinical examination and diagnostic work ups showed massive exudative ascites. The patient was admitted to the oncology ward of Vali-e-Asr hospital with the diagnosis of appendiceal adenocarcinoma with peritoneal involvement. Conclusion: In case of acute appendicitis, the possibility of appendiceal adenocarcinoma should be considered
Ali Akbar Abdollahi, Kadije Yazdi, Naseer Behnampur, Mane Neyaze,
Volume 13, Issue 4 (1-2011)
Abstract
Background: Postoperative ileus after appendectomy causes gas storage, distention, nausea, vomiting, and even pain. Gum chewing is one of the ways that can reduce the duration of temporary ileus. The aim of this study is to determine the effect of gum chewing on bowel movements following appendectomy. Materials and Methods: This randomized double-blind clinical trial was done on 46 patients undergoing appendectomy that were divided into equal treatment and control groups. The treatment group chewed gum three times, each time for 20 minutes, 4, 10 , and 18 hours after recovery from anesthesia. The control group, however, did not receive any special treatments. The bowel sounds were monitored every two hours using stethoscope. Also, through running interviews with two hour intervals, data were collected regarding the first passage of flatus and defecation. Data were analyzed through SPSS and t-test. Results: On average, the first bowel sounds in treatment and control groups were, respectively, heard at 2.08±0.41 and 3.13±1.45 hours, whereas gas passage in treatment and control groups was reported at 26.8±14.59 and 50.08±13.92 hours, respectively. Also, the first defecation in the treatment group occurred at 18.91±10.77 hour but in the control group this happened at 29.21±12.11 hour. Based on these observations, a significant difference was seen between the two groups in terms of the test results (p=0.002). Conclusion: The findings of this study showed that chewing gum can help bowel movements after appendectomy.
