PROMPT EMERGENCY TREATMENT FOR THE KOREAN PATIENT WITH NECROTIC RETROCECAL APPENDICITIS

Appendicitis is an acute disease that requiring attention to its symptoms and manifestations for early diagnosis and timely surgical intervention in order to avoid complications and mortality risk.
 
Recently, American International Hospital (AIH) has received a case of necrotic retrocecal appendicitis (the proximal end of colon connects to the distal end of small intestine) in the Korean patient named Kim - 24 years old, Korean nationality. According to the patient's representative in Vietnam, while working on a ship from Thailand to Vietnam, Mr. Kim had increasing abdominal pain within 5 days (severe pain started from day 3). The pain initially occurs in periumbilical  region, then radiates to the right iliac fossa. Be aware of severe pain may influence on his work, Kim's colleagues quickly let the ship dock at Cat Lai port and contacted the American International Hospital (AIH) to arrange an ambulance for prompt patient pick-up.

Mr. kim had been admitted to the Emergency Department for severe abdominal pain, medical examination was given by AIH’s general surgeons with the signs of right iliac fossa pan, abdominal guarding noticed, possible complications of localized peritonitis, abdominal CT-scan immediately indicated. CT-scan result revealed necrotic appendicitis, fecaliths impacted and local pelvic peritonitis (infracecal and ascending to retrocecal position). At this time, the patient is counseled and arranged for emergency surgery in 02 hours only.
 
During surgery process, it was found that the retrocecal appendix tightly attached to the lateral peritoneum, swollen appendix with many necrotic positions which can cause dangerous complications if treatment is not promptly given such as extended peritonitis becomes generalized peritonitis, a serious infection.
 
At the American International Hospital (AIH), most of appendectomy use laparoscopic method with the advantages of less pain, small incision scars and quick recovery time. Meanwhile, the team of surgeons and nurses always provide dedicated care throughout counseling to post-operative care, shortening length of hospital stay.  
 
AIH’s general surgeons said, early appendicitis is easily confused with other gastrointestinal diseases such as gastritis, digestive disorders... and the pain is not always begin at the right iliac fossa but vaguely in the epigastric or periumbilical region. The disease usually commences with symptoms of abdominal pain, getting worse gradually, possibly accompanied with fever as the infection becomes exacerbated. In addition, it may be accompanied with vomiting and diarrhea, causing easily confusion with other digestive diseases. Appendicitis can become critically, even life-threatening with complications such as generalized peritonitis. Therefore, if there are initial symptoms detected as above, patients need to visit a doctor soon for timely treatment or necessary surgical intervention as indicated by a specialist.
 
After three days of surgery and treatment, Mr. Kim was quite satisfied with services provided by AIH during medical examination, surgery as well as postoperative care. Simultaneously, Mr. Tri, a patient’s colleague - the company representative in Vietnam, said, "Once emergency contact made, the AIH team has picked up, consulted and supported patient very quickly and timely; Hospitalization and surgery underwent smoothly. The company representative is very grateful to the team of doctors in AIH”.
 
As one of the five leading specialties at American International Hospital (AIH), the Department of General Surgery provides variety of surgical care with many highest international standard intensive specialties.  The Department of General Surgery is associated perioperative treatment of patients with various medical conditions, including cases of elective or urgent surgery.   
 
For details of medical services provided by American International Hospital (AIH), please contact the hotline 028 3910 9999 or inbox AIH Fanpage https://m.me/aih.com.vn
 
The Department of General Surgery - one of the five leading specialties at American International Hospital AIH - provides laparotomic surgery and minimally invasive surgery for intensive specialties according to international standards. These surgeries are performed by  high qualified surgeons with modern surgical equipment and advanced surgical technology.
 
Karl Storz OR1 operating room system: An integrated system which is directly connected and controlled by many modern touchscreens for the connection of remote medical consultations and treatment through Telemedicine system with experts in popular US hospitals.
 
GE Healthcare’s Avance CS2 Advanced Anesthesia System: Anesthesia delivery by advanced technology, integrated functions of patient monitoring, parameter assessment and advanced ventilation assessment function help to control anesthetic effects in the most effective and safe manner for patients.