Primary repair of cecal perforation from acute appendicitis: an operative dilemma

Primary Repair of Cecal Perforation from Acute Appendicitis: An Operative Dilemma A 25-year-old man presented to the emergency department with a 5-day history of severe right lower quadrant abdominal pain. Wong and Naqvi recently reported primary closure of a cecal perforation using absorbable sutur...

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Bibliographic Details
Published in:The American surgeon 2012-12, Vol.78 (12), p.E508-509
Main Authors: Richardson, Christopher G, DeMuro, Jonas P
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Acute Disease
Adult
Anastomosis, Surgical
Appendectomy - methods
Appendicitis
Appendicitis - complications
Appendicitis - diagnostic imaging
Appendicitis - surgery
Appendix
Cecum - diagnostic imaging
Cecum - surgery
Colectomy - methods
Emergency Service, Hospital
Follow-Up Studies
Humans
Intestinal Perforation - diagnostic imaging
Intestinal Perforation - etiology
Intestinal Perforation - surgery
Laparotomy - methods
Male
Patient Safety
Risk Assessment
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Primary Repair of Cecal Perforation from Acute Appendicitis: An Operative Dilemma A 25-year-old man presented to the emergency department with a 5-day history of severe right lower quadrant abdominal pain. Wong and Naqvi recently reported primary closure of a cecal perforation using absorbable sutures reinforced with an omental patch.4We now confirm that a cecal repair for a small perforation in the setting of acute perforated appendicitis, even in the setting of adjacent inflammation and peritonitis, can be done safely and effectively in a select patient.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481207801205