Cargando…
A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report
Chronic appendicitis is a rare cause of chronic abdominal pain that can be difficult to diagnose. We present a patient with chronic right upper quadrant pain that was finally diagnosed as chronic appendicitis. This 71-year-old male had no systemic diseases and presented to our outpatient clinic with...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362377/ https://www.ncbi.nlm.nih.gov/pubmed/37485188 http://dx.doi.org/10.7759/cureus.40772 |
_version_ | 1785076416460619776 |
---|---|
author | Chao, Ko-Han Lin, Chien-Yi Wang, Chih-Tang |
author_facet | Chao, Ko-Han Lin, Chien-Yi Wang, Chih-Tang |
author_sort | Chao, Ko-Han |
collection | PubMed |
description | Chronic appendicitis is a rare cause of chronic abdominal pain that can be difficult to diagnose. We present a patient with chronic right upper quadrant pain that was finally diagnosed as chronic appendicitis. This 71-year-old male had no systemic diseases and presented to our outpatient clinic with right upper quadrant pain for one month. The pain tended to worsen in the early morning but could be relieved by bowel movements, sitting up, or walking. The findings of a physical examination, laboratory data, and abdominal ultrasound were not significant. Upper endoscopy revealed a shallow gastric ulcer at the antrum. However, the abdominal pain was not relieved by esomeprazole. A computed tomography (CT) scan revealed a dilated appendix with some appendicoliths in the retrocecal region. Due to chronic appendicitis, the patient underwent laparoscopic appendectomy, and the histopathological examination of the removed appendix confirmed the diagnosis. The abdominal pain completely resolved after the surgery. Chronic appendicitis should be kept in mind in patients with chronic abdominal pain without a definite diagnosis. This case illustrates that in addition to right lower quadrant pain, chronic appendicitis can also present with right upper quadrant pain or vague abdominal pain. A CT scan is invaluable in the diagnosis of abdominal pain when medical treatment fails to yield improvement. |
format | Online Article Text |
id | pubmed-10362377 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103623772023-07-23 A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report Chao, Ko-Han Lin, Chien-Yi Wang, Chih-Tang Cureus Internal Medicine Chronic appendicitis is a rare cause of chronic abdominal pain that can be difficult to diagnose. We present a patient with chronic right upper quadrant pain that was finally diagnosed as chronic appendicitis. This 71-year-old male had no systemic diseases and presented to our outpatient clinic with right upper quadrant pain for one month. The pain tended to worsen in the early morning but could be relieved by bowel movements, sitting up, or walking. The findings of a physical examination, laboratory data, and abdominal ultrasound were not significant. Upper endoscopy revealed a shallow gastric ulcer at the antrum. However, the abdominal pain was not relieved by esomeprazole. A computed tomography (CT) scan revealed a dilated appendix with some appendicoliths in the retrocecal region. Due to chronic appendicitis, the patient underwent laparoscopic appendectomy, and the histopathological examination of the removed appendix confirmed the diagnosis. The abdominal pain completely resolved after the surgery. Chronic appendicitis should be kept in mind in patients with chronic abdominal pain without a definite diagnosis. This case illustrates that in addition to right lower quadrant pain, chronic appendicitis can also present with right upper quadrant pain or vague abdominal pain. A CT scan is invaluable in the diagnosis of abdominal pain when medical treatment fails to yield improvement. Cureus 2023-06-21 /pmc/articles/PMC10362377/ /pubmed/37485188 http://dx.doi.org/10.7759/cureus.40772 Text en Copyright © 2023, Chao et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Chao, Ko-Han Lin, Chien-Yi Wang, Chih-Tang A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report |
title | A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report |
title_full | A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report |
title_fullStr | A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report |
title_full_unstemmed | A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report |
title_short | A Rare Presentation of Chronic Appendicitis in the Right Upper Quadrant: A Case Report |
title_sort | rare presentation of chronic appendicitis in the right upper quadrant: a case report |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362377/ https://www.ncbi.nlm.nih.gov/pubmed/37485188 http://dx.doi.org/10.7759/cureus.40772 |
work_keys_str_mv | AT chaokohan ararepresentationofchronicappendicitisintherightupperquadrantacasereport AT linchienyi ararepresentationofchronicappendicitisintherightupperquadrantacasereport AT wangchihtang ararepresentationofchronicappendicitisintherightupperquadrantacasereport AT chaokohan rarepresentationofchronicappendicitisintherightupperquadrantacasereport AT linchienyi rarepresentationofchronicappendicitisintherightupperquadrantacasereport AT wangchihtang rarepresentationofchronicappendicitisintherightupperquadrantacasereport |