Abstract
A 50-year-old woman was examined at our hospital after occurrence of abdominal pain and vomiting，and was initially diagnosed as having gastritis. Because of repeated vomiting that night，she was reexamined at our hospital and admitted for follow-up. The next day，she was referred to our department because of ileus. We observed tenderness and a high inflammatory response in the upper abdomen. Because of exacerbation of abdominal pain over time，we suspected a strangulated ileus and performed emergency surgery. Upon performing laparotomy，we observed that the tip of the appendix had adhered to the mesoileum in a loop shape and that an aboral ileal loop located 10 cm from the ileocecal valve was strangled for 10 cm. Upon releasing the strangulation，we performed an appendectomy without performing intestinal resection because of improved blood flow in the intestinal tract. Histopathological examination of the adhered portion of the appendiceal tip revealed acute catarrhal appendicitis. Although strangulated ileus is frequently encountered by surgeons in a clinical setting，it is rare for the appendix itself to be strangulated. Therefore，we report on this case along with a discussion of the relevant literature.
