At Tulips Multispeciality Hospital, under the expert care of Dr. Kishore, we successfully treated the case of Ariramakrishna, a 27-year-old male who presented with burst acute appendicitis. This life-threatening condition required an emergency laparoscopic appendectomy. Thanks to the swift diagnosis and advanced surgical approach, the patient made a safe recovery and avoided complications such as peritonitis and septic shock.
Initial Symptoms and Diagnostic Findings
The patient arrived at the emergency unit with acute abdominal pain, specifically in the lower right quadrant, accompanied by fever (101.1°F), nausea, and vomiting. He had no history of loose stools. His vital signs included a pulse rate of 106 bpm, oxygen saturation of 98%, and blood pressure of 110/80 mmHg. His blood glucose was 130 mg/dL. Despite initial treatment, the pain persisted. Dr. Kishore recommended a contrast-enhanced CT (CECT) scan, which revealed non-perforated acute appendicitis with a 7mm fecolith blocking the appendix. Although the scan showed no rupture, the clinical condition demanded immediate surgical intervention.
What Is Acute Appendicitis and Why It’s Dangerous
Acute appendicitis is a medical emergency caused by inflammation of the appendix. The blockage, often due to fecoliths (hardened stool particles), leads to swelling, bacterial infection, and, if untreated, rupture. Once ruptured, the appendix releases pus and bacteria into the abdominal cavity, leading to peritonitis, a potentially fatal condition. In this case, Dr. Kishore identified the early signs of rupture and proceeded with an emergency laparoscopic procedure before the infection could spread further.
Emergency Laparoscopic Appendectomy: Step-by-Step Approach
1. Preoperative Preparation:
The patient was taken into the operation theatre at Tulips Multispeciality Hospital , where Dr. Kishore and his surgical team followed strict aseptic protocols. The patient received general anesthesia, and the abdomen was sterilized and draped.
2. Access Creation and Port Placement:
A 10mm incision was made below the navel to insert a camera and establish a pneumoperitoneum (inflated abdominal cavity using gas). Two additional 5mm incisions were created—one in the suprapubic area and another in the left iliac region for surgical instruments.
3. Surgical Procedure and Appendix Removal:
Upon inspection, the appendix was found ruptured, with a fecolith and localized abscess in the right iliac fossa. Dr. Kishore carefully separated the mesoappendix using a vessel sealer, effectively controlling bleeding. The base of the appendix was tied off with 2-0 Vicryl sutures, ensuring no leakage.The infected appendix was safely retrieved, and the peritoneal cavity was thoroughly cleaned (lavage).
4. Drain Placement and Closure:
A 16F suction drain was placed to remove any residual fluids. All port sites were closed in layers using absorbable sutures, ensuring minimal scarring and faster healing.
Why Dr. Kishore’s Approach Was Critical
Burst appendicitis can escalate rapidly, often resulting in complications such as:
- Generalized peritonitis
- Septicemia
- Intra-abdominal abscesses
- Postoperative adhesions
Dr. Kishore’s quick diagnosis, detailed pre-surgical evaluation, and precise surgical execution ensured that the infection was controlled and the risk of complications was minimized. By choosing laparoscopic appendectomy, the patient experienced:
- Smaller incisions
- Reduced risk of infection
- Faster recovery time
Post-Surgical Care and Outcome
Following the surgery, Ariramakrishna was stable. He was moved to the post-op ward where he received
- IV antibiotics to control infection
- Fluids and nutritional support
- Pain management
- Drain care and monitoring
Dr. Kishore monitored his progress closely, and within a few days, the patient was discharged with oral antibiotics and advice on post-operative care. The drain was removed once output decreased, and the recovery was uneventful.
When Should You Suspect Appendicitis?
Early recognition of symptoms can save lives. Common signs include:
- Sharp pain near the navel that moves to the lower right abdomen
- Fever and chills
- Loss of appetite
- Vomiting or nausea
- Increased pain during movement, coughing, or deep breathing
If you or someone you know experiences these symptoms, immediate medical attention is necessary. A delay in diagnosis can lead to rupture and severe complications.
Tulips Multispeciality Hospital: Excellence in Emergency Surgical Care
Tulips Multispeciality Hospital is known for its state-of-the-art emergency facilities, expert surgical team, and personalized patient care. Under the leadership of experienced surgeons like Dr. Kishore, we are equipped to handle complex surgical emergencies with confidence and compassion. Our commitment to minimally invasive techniques, rapid diagnostics, and post-operative care ensures patients recover faster and safely return to their daily lives.
Conclusion
The case of Ariramakrishna, successfully treated by Dr. Kishore at Tulips Multispeciality Hospital, is a reminder that burst appendicitis is a race against time. Thanks to immediate diagnosis, skilled surgical intervention, and excellent post-operative care, the patient made a full recovery.
Acting quickly on abdominal pain can mean the difference between a minor surgery and a life-threatening emergency.
If you or your loved ones experience any symptoms of appendicitis, trust Tulips Multispeciality Hospital for 24/7 emergency care and expert surgical treatment
