Acute Appendicitis Leading to Small and Large Bowel Obstruction

Intestinal obstruction is a common surgical emergency caused by varied conditions. Obstruction of large intestine caused by appendicitis is extremely rare with very few cases reported in literature. The diagnosis of such a condition is possible only on table. Every emergency surgeon needs to be aware of such a possibility. We report a case of a 37 year old female presenting with classical features of intestinal obstruction, abdominal pain and absolute constipation for last 3 days. On laparotomy small and large obstructed bowel was seen and appendix was found to be the cause. Although we obtained a history of appendicitis in this patient, it was not correlated to the present condition due to the rarity of such a scenario. We reviewed literature to find similar cases reported in the past.