Emergency operation done in cases of
a. Volvulusb. Obstructed hernia
c. Appendicular perforation paralytic ileus
d. Pt. on A.T.T. associated caecal obstruction
e. all of above
Ans. (A) Volvulus; (B) Obstructed hernia; (C) Appendicular
perforation with paralytic iletis.
• When there is evidence of generalized peritonitis, ileus,
intestinal obstruction or systemic toxicity along with perforated appendicitis,
emergency appendectomy should be undertaken. This should be delayed only for as
long as is required to ensure adequate fluid resuscitation and administration
of broad spectrum antibiotics.
• Ileocaccal tuberculosis treated with chemothrapeutic
regimen. Surgery is only indicated if medical therapy fails or associated with
perforation or intestinal obstruction.
