Perforated Acute Appendicitis with Accidental Mesodiverticular Band in a Southeast Asian Ovalocytosis: An Unfortunate Occurrences

  • Nurul Amira Kabul Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Nurul Najah Mohamad Kamal Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Andi Fauzi Andi Kadir Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Muhammad Budiman Zamhor Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Noralia Ain Mohd Zaid Koh Mohd Zaid Koh Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Yee Woon Chia Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Tharuni Chandrasegar Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Firdaus Hayati 1Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia 2Department of Surgery, Queen Elizabeth Hospital, Ministry of Health, Kota Kinabalu, Sabah, Malaysia

Abstract

Acute appendicitis (AA) is one of the commonest surgical emergencies. Perforation is one of the major complications of AA which can cause dreaded morbidity as well as mortality. Comorbidities, especially among endocrine, vascular or even haematological disorder, can mask postoperative complications. By having good knowledge of certain perioperative conditions, the patient can avoid more invasive intervention. Herein, a young lady with southeast asian ovalocytosis (SAO) presented with perforated AA and incidental mesodiverticular band developed postoperative jaundice and we discuss the possible outcomes of these unfortunate events.

Author Biographies

Nurul Amira Kabul, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Nurul Najah Mohamad Kamal, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Andi Fauzi Andi Kadir, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Muhammad Budiman Zamhor, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Noralia Ain Mohd Zaid Koh Mohd Zaid Koh, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Yee Woon Chia, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Tharuni Chandrasegar, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Firdaus Hayati, 1Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia 2Department of Surgery, Queen Elizabeth Hospital, Ministry of Health, Kota Kinabalu, Sabah, Malaysia
1Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia 2Department of Surgery, Queen Elizabeth Hospital, Ministry of Health, Kota Kinabalu, Sabah, Malaysia
Published
2020-09-12