CASE REPORT: ACUTE NECROTIZING APPENDICITIS

Authors

  • Maria Clara Marques Mendonça Martins Centro Universitário CESMAC
  • Marília Costa Menezes Universidade Federal de Alagoas
  • Axel Helmut Rulf Cofré Centro Universitário CESMAC

DOI:

https://doi.org/10.36557/2674-8169.2025v7n2p2227-2238

Keywords:

Sepsis, Surgical Treatment, Computed tomography, Appendicectomy, early diagnosis, Necrotizing acute appendicitis

Abstract

Acute necrotizing appendicitis is a rare and severe form of appendicitis characterized by necrosis of the vermiform appendix and frequently associated with serious complications such as sepsis and diffuse peritonitis. Clinical manifestations may include signs of peritoneal irritation, with more severe symptoms such as abdominal distension, fever, and tachycardia. Diagnosis is often confirmed by imaging tests such as computed tomography, which can identify signs of inflammation, stacking, or pneumatosis intestinalis. Treatment consists of immediate surgical intervention. This case report highlights the importance of early diagnosis and urgent surgical intervention to reduce mortality rates and improve patient prognosis.

 

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References

D’AGOSTINO, J. et al. Advances in the diagnosis and treatment of acute appendicitis. Journal of Surgery, v. 34, n. 2, p. 123-135, 2017.

DUMONT, A. et al. Surgical outcomes in necrotizing appendicitis: a multicenter study. International Journal of Surgery, v. 45, p. 56-63, 2020.

GRAHAM, K. et al. The impact of early versus delayed surgery in patients with acute necrotizing appendicitis. Annals of Emergency Medicine, v. 27, n. 5, p. 456-470, 2019.

MICHAUD, M. et al. Necrotizing appendicitis: A review of clinical cases and outcomes. Surgical Research Journal, v. 12, n. 4, p. 203-215, 2018.

MIKAMI, T. et al. Imaging findings and clinical management of necrotizing appendicitis: a review. Radiology Today, v. 36, n. 7, p. 98-107, 2020.

STOKER, J. et al. Computed tomography in acute appendicitis: A diagnostic tool revisited. Radiology Journal, v. 41, n. 3, p. 189-202, 2019.

Published

2025-02-25

How to Cite

Martins, M. C. M. M., Menezes, M. C., & Cofré, A. H. R. (2025). CASE REPORT: ACUTE NECROTIZING APPENDICITIS. Brazilian Journal of Implantology and Health Sciences, 7(2), 2227–2238. https://doi.org/10.36557/2674-8169.2025v7n2p2227-2238