Abstract
We have experienced a case of strangulation ileus caused by adhesion of the appendix to the mesentery of the colon. The case involved a 75-year-old man who presented to the emergency clinic in our hospital because of a 3-day history of abdominal pain and dysphagia. The entire abdomen slightly distended. There was mild tenderness in the right lower quadrant of abdomen but the abdomen was elastic-soft. There was no rebound tenderness. Blood analysis revealed mild degree of inflammatory reaction. Following abdominal x-ray examination and CT scan, ileus was diagnosed. Placement of a long tube was unsuccessful and the patient was operated on. Laparotomy disclosed that the tip of the appendix was adherent to the mesentery of the ascending colon and squeezed the ileum, at where the ileum was strangulated. Appendectomy released the strangulation. We saw the involved ileum not to be gangrenous. Histopathological studies showed no diseases such as a mucinous cyst of the appendix and we hardly confirm inflammatory findings. Since it is rare that the appendix itself becomes strangulation band, we present our case together with a review of the literature.
