A case of septic shock and ARDS associated with nonperforating appendicitis

Hiroya Takeuchi, Kohei Yonezawa, Shiei Kim, Atsushi Shimada, Takashi Oishi, Yoh Isobe, Shunji Ikeuchi, Kiyoshi Kubochi, Masaki Kitajima, Sumio Matsumoto

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We report a rare case of septic shock and acute respiratory distress syndrome (ARDS) associated with non-perforating appendicitis. A Japanese man in his 30s diagnosed with acute nonperforating appendicitis, treated conservatively with antibiotics upon admission, suffered severe septic shock the next day, necessitating emergency appendectomy. The appendix was gangrenous but not perforated macroscopically. After surgery, the patient suffered severe ARDS. He was treated with mechanical ventilation and endotoxin absorption therapy using polymyxin B-immobilized fiber direct hemoperfusion (PMX-DHP), enabling him to recover from sepsis and ARDS. Nonperforating appendicitis with severe sepsis are very rare, and only 7 cases, including our, have been reported in Japanese literature. It may thus be important to recognize the existence of nonperforating appendicitis with severe sepsis or ARDS.

Original languageEnglish
Pages (from-to)1845-1851
Number of pages7
JournalJapanese Journal of Gastroenterological Surgery
Volume40
Issue number11
Publication statusPublished - 2007 Nov

Fingerprint

Adult Respiratory Distress Syndrome
Appendicitis
Septic Shock
Sepsis
Hemoperfusion
Severe Acute Respiratory Syndrome
Polymyxin B
Appendectomy
Artificial Respiration
Endotoxins
Emergencies
Anti-Bacterial Agents
Therapeutics

Keywords

  • ARDS
  • Nonperforating appendicitis
  • Sepsis

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Takeuchi, H., Yonezawa, K., Kim, S., Shimada, A., Oishi, T., Isobe, Y., ... Matsumoto, S. (2007). A case of septic shock and ARDS associated with nonperforating appendicitis. Japanese Journal of Gastroenterological Surgery, 40(11), 1845-1851.

A case of septic shock and ARDS associated with nonperforating appendicitis. / Takeuchi, Hiroya; Yonezawa, Kohei; Kim, Shiei; Shimada, Atsushi; Oishi, Takashi; Isobe, Yoh; Ikeuchi, Shunji; Kubochi, Kiyoshi; Kitajima, Masaki; Matsumoto, Sumio.

In: Japanese Journal of Gastroenterological Surgery, Vol. 40, No. 11, 11.2007, p. 1845-1851.

Research output: Contribution to journalArticle

Takeuchi, H, Yonezawa, K, Kim, S, Shimada, A, Oishi, T, Isobe, Y, Ikeuchi, S, Kubochi, K, Kitajima, M & Matsumoto, S 2007, 'A case of septic shock and ARDS associated with nonperforating appendicitis', Japanese Journal of Gastroenterological Surgery, vol. 40, no. 11, pp. 1845-1851.
Takeuchi H, Yonezawa K, Kim S, Shimada A, Oishi T, Isobe Y et al. A case of septic shock and ARDS associated with nonperforating appendicitis. Japanese Journal of Gastroenterological Surgery. 2007 Nov;40(11):1845-1851.
Takeuchi, Hiroya ; Yonezawa, Kohei ; Kim, Shiei ; Shimada, Atsushi ; Oishi, Takashi ; Isobe, Yoh ; Ikeuchi, Shunji ; Kubochi, Kiyoshi ; Kitajima, Masaki ; Matsumoto, Sumio. / A case of septic shock and ARDS associated with nonperforating appendicitis. In: Japanese Journal of Gastroenterological Surgery. 2007 ; Vol. 40, No. 11. pp. 1845-1851.
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