A Case of Strangulation Ileus Caused by the Appendix

Abstract

A case of strangulation ileus caused by the appendix adhering to the peritoneum of the pelvis is described. A 37-year-old woman visited our hospital with a complaint of acute abdominal pain and was diagnosed as having intestinal obstruction. She had no history of laparotomy. Since the cause of intestinal obstruction could not be confirmed by CT or MRI, laparoscopy was performed and showed that the ileum was surrounded and strangulated by the appendix, which adhered to the peritoneum of the pelvis. Since the ileum showed no ischemic signs, laparoscopic appendectomy was performed. A case of strangulation ileus caused by the appendix is rare ; therefore, this case is reported along with a review of the relevant literature.