Eight Cases of Schizophrenia Admitted to Another Hospital Referred to Our Hospital for Acute Appendicitis

Abstract

Our hospital does not have a psychiatry ward, but schizophrenia patients with surgical diseases are often referred to us from other hospitals. In this study, we examined eight cases of schizophrenia with acute appendicitis who were referred to our hospital from January 2014 to January 2020. The median age of the patients was 56 years, and all the patients underwent emergency surgery. Laparoscopic surgery was performed in 2 cases and laparotomy in 6 cases. Seven cases had gangrenous appendicitis, and 5 had perforated appendicitis. Postoperative complications occurred in 4 cases. In 1 case, it was difficult to keep the patient hospitalized at our hospital because of the severe schizophrenia symptoms. The median length of the hospital stay was 8 days, and all patients were transferred back to the referring hospital after discharge. In cases of acute appendicitis with schizophrenia, perforated appendicitis and postoperative complications are common.