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Case Report
Non-inflamed appendix with LAMN causing closed-loop small bowel obstruction
1 Surgical Registrar, Department of General Surgery, Northern Health, Melbourne, Victoria, Australia
2 Surgical Fellow, Department of General Surgery, Northern Health, Melbourne, Victoria, Australia
3 Consultant Surgeon, Department of General Surgery, Northern Health, Melbourne, Victoria, Australia
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Hein Maung
Northern Health Hospital, 185 Cooper Street, Epping, VIC 3076,
Australia
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Article ID: 100122Z06HM2023
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Maung H, Marino M, Touma F. Non-inflamed appendix with LAMN causing closed-loop small bowel obstruction. Case Rep Int 2023;12(1):17–20.ABSTRACT
Introduction: Low grade appendiceal mucinous neoplasms are generally encountered incidentally in appendicectomies for suspected appendicitis. This case is a documentation of a rare occurrence of LAMN presenting with small bowel obstruction.
Case Report: An 83-year-old male presented to the Emergency Department with a three day history of nausea, vomiting, and obstipation and profoundly dehydrated. Computed tomography revealed a high grade small bowel obstruction with 2 transition points in the right iliac fossa, concerning for closed loop obstruction, necessitating an urgent laparotomy.
Conclusion: While acute appendicitis is a common cause of emergency abdominal pathology, when coupled with small bowel obstruction, a neoplastic cause should be considered as part of the differential diagnosis.
Keywords: Appendicitis, LAMN, SBO
SUPPORTING INFORMATION
Author Contributions
Hein Maung - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Matthew Marino - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fidel Touma - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Hein Maung et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
