2021 Volume 74 Issue 6 Pages 364-368
A 53-year-old man was brought to our hospital because of high fever and disturbance of consciousness with right lower abdominal pain. Enhanced CT scan revealed swelling of the appendix, with no findings of ascites or abscess, and so he was diagnosed as acute non-perforating appendicitis. Furthermore, he was diagnosed as sepsis and DIC by biochemical findings and several examinations. Because we could not completely conclude that the cause of severe sepsis was appendicitis, we started conservative treatment for him. As a result of intensive therapy, he recovered from DIC on the third hospital day. He was discharged from the hospital on the eighth hospital day and received elective laparoscopic appendectomy three months later. The histopathological diagnosis was catarrhal appendicitis. Several non-perforating acute appendicitis cases with sepsis and DIC have been reported until now, but all of those cases had received emergency operation. Therefore, this is the first case in which elective surgery was performed for non-perforating acute appendicitis associated with sepsis and DIC.
