2021 Volume 41 Issue 3 Pages 205-208
A 54-year-old woman presented to the emergency department with a 3-day history of abdominal pain and fever. Contrast-enhanced CT of the abdomen revealed closed-loop obstruction of a hypo-enhancing small bowel, suggestive of strangulated bowel obstruction. We performed emergent laparoscopic surgery. An approximately 20-cm segment of the small bowel had herniated through a band formed by the appendix, the distal end of which was inflamed and adherent to the retroperitoneum. The herniated bowel segment was not gangrenous and did not require resection. Therefore, we performed appendectomy alone. Her postoperative course was uneventful, and the patient was discharged 7 days after surgery. We present a case of strangulated bowel obstruction caused by an adherent appendix.
