Internal hernia strangulated on appendicular tourniquet: a case report of an exceptional anomaly of the appendix revealed by a rare hernia

Ismaïl Lawani; Cocou Yélinhan Patrice Houndje; Yacoubou Imorou Souaïbou; Dansou Gaspard Gbéssi; Setondji Gilles Roger Attolou; Freddy H R Gnangnon; Kouègnigan Sylvain Komadan; Houénoukpo Koco; Francis Moïse Dossou; Jean-Léon Olory-Togbé

doi:10.1186/s40792-019-0671-0

Internal hernia strangulated on appendicular tourniquet: a case report of an exceptional anomaly of the appendix revealed by a rare hernia

Surg Case Rep. 2019 Jul 15;5(1):112. doi: 10.1186/s40792-019-0671-0.

Affiliations

¹ Department of Surgery and Surgical Specialties, Faculty of Health Sciences, Campus Universitaire Champs de Foire, PO Box: 01BP118, Cotonou, Republic of Benin. ismaillawani@gmail.com.
² Faculty of Medicine, University of Parakou, PO Box: BP 123, Parakou, Republic of Benin.
³ Department of Surgery and Surgical Specialties, Faculty of Health Sciences, Campus Universitaire Champs de Foire, PO Box: 01BP118, Cotonou, Republic of Benin.

Abstract

Background: Internal hernias and the appendicular tourniquet are two rare pathologies.

Case presentation: We report here a case of a 68-year-old obese patient, who has acute small bowel obstruction due to strangulated internal hernia through an appendicular tourniquet. This appendicular tourniquet results from the adhesion between the tip of the appendix and its body. This obstruction was complicated by plugged perforation. Resection of the small bowel segment was performed, in addition to appendectomy, lavage, and drainage. The postoperative recovery was uneventful.

Conclusion: Acute bowel obstruction secondary to strangulation of an internal hernia through an appendicular tourniquet is exceptional.

Keywords: Appendicular tourniquet; Bowel obstruction; Internal hernia.