Appendicitis in the Elderly Patient with Multiple Co-Morbid Conditions: Case Report

  • Anuj Jung Rayamajhi Civil Service Hospital http://orcid.org/0000-0002-0138-6502
  • Prashanta Paudel Civil Service Hospital
  • Rupesh Kumar Yadav Kanti children Hospital
  • Subash Chandra Paudel Civil service hospital of Nepal
  • Bidur Kumar Dhungel Civil service hospital of Nepal
  • Bikram Byanjankar Civil service hospital of Nepal
  • Rabin Pandit Civil service hospital of Nepal
Keywords: Acute appendicitis, peripheral nerve block, coeliac plexus, paravertebral

Abstract

Acute appendicitis is commonly encountered surgical emergency worldwide.  Although, it is commonly found in young and middle aged groups, the incidence of the diseases in geriatric age group is very rare and possesses a great challenge to safe technique of anesthesia due to co-existing comorbid conditions and medications used. Geriatric population are more susceptible to complications of appendicitis. This is a case report of 82 years old male patient, presented with appendicular perforation with localized abscess formation in a septic state with multiple comorbid condition. Routinely performed Spinal and general anaesthesia adds further challenge in management of this patient during and after surgery. Therefore, we performed the case in regional nerve block; paravertebral, ilioinguinal- iliohypogastric (ILIH) and coeliac plexus block and sedation.

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Author Biographies

Anuj Jung Rayamajhi, Civil Service Hospital

Department of Anesthesiology, Critical Care & Pain Medicine

Prashanta Paudel, Civil Service Hospital

Department of Anesthesiology, Critical Care & Pain Medicine

Rupesh Kumar Yadav, Kanti children Hospital

Department of Paediatric Anaesthesia

Subash Chandra Paudel, Civil service hospital of Nepal

Department of Anesthesiology, Critical Care & Pain Medicine

Bidur Kumar Dhungel, Civil service hospital of Nepal

Department of Anesthesiology, Critical Care & Pain Medicine

Bikram Byanjankar, Civil service hospital of Nepal

Department of General Surgery

Rabin Pandit, Civil service hospital of Nepal

Department of General Surgery

Published
2019-09-04
How to Cite
Rayamajhi, A., Paudel, P., Yadav, R., Paudel, S., Dhungel, B., Byanjankar, B., & Pandit, R. (2019). Appendicitis in the Elderly Patient with Multiple Co-Morbid Conditions: Case Report. Birat Journal of Health Sciences, 4(2), 765-768. https://doi.org/10.3126/bjhs.v4i2.25463
Section
Case Reports