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Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix

Acute appendicitis is a very common surgical emergency diagnosed by combining the history, examination, and investigations to build a clinical picture. This presentation can become more complex with abnormal anatomical variations of the appendix. This case describes the rare clinical finding of a su...

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Detalles Bibliográficos
Autores principales: Longani, Simran K, Ahmed, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886639/
https://www.ncbi.nlm.nih.gov/pubmed/31824802
http://dx.doi.org/10.7759/cureus.6035
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author Longani, Simran K
Ahmed, Ahmed
author_facet Longani, Simran K
Ahmed, Ahmed
author_sort Longani, Simran K
collection PubMed
description Acute appendicitis is a very common surgical emergency diagnosed by combining the history, examination, and investigations to build a clinical picture. This presentation can become more complex with abnormal anatomical variations of the appendix. This case describes the rare clinical finding of a subhepatically located appendix and caecum in a 24-year-old female presenting with right lower quadrant (RLQ) pain. Examination findings were consistent with acute appendicitis. Ultrasonography identified the appendix as being located in the subhepatic region with laparoscopy confirming this finding and the presence of a malrotated caecal pole due to congenital adhesions. Laparoscopic appendectomy was subsequently performed therapeutically with no complications. This case focuses on the typical presentation of appendicitis and RLQ pain in a patient with an atypical anatomical structure. It aims to depict the importance of a widened knowledge of the aberrantly located appendix and how this can impact clinical presentation.
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spelling pubmed-68866392019-12-10 Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix Longani, Simran K Ahmed, Ahmed Cureus General Surgery Acute appendicitis is a very common surgical emergency diagnosed by combining the history, examination, and investigations to build a clinical picture. This presentation can become more complex with abnormal anatomical variations of the appendix. This case describes the rare clinical finding of a subhepatically located appendix and caecum in a 24-year-old female presenting with right lower quadrant (RLQ) pain. Examination findings were consistent with acute appendicitis. Ultrasonography identified the appendix as being located in the subhepatic region with laparoscopy confirming this finding and the presence of a malrotated caecal pole due to congenital adhesions. Laparoscopic appendectomy was subsequently performed therapeutically with no complications. This case focuses on the typical presentation of appendicitis and RLQ pain in a patient with an atypical anatomical structure. It aims to depict the importance of a widened knowledge of the aberrantly located appendix and how this can impact clinical presentation. Cureus 2019-10-30 /pmc/articles/PMC6886639/ /pubmed/31824802 http://dx.doi.org/10.7759/cureus.6035 Text en Copyright © 2019, Longani et al. http://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 General Surgery
Longani, Simran K
Ahmed, Ahmed
Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix
title Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix
title_full Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix
title_fullStr Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix
title_full_unstemmed Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix
title_short Classical Presentation of Acute Appendicitis in the Case of a Subhepatic Appendix
title_sort classical presentation of acute appendicitis in the case of a subhepatic appendix
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886639/
https://www.ncbi.nlm.nih.gov/pubmed/31824802
http://dx.doi.org/10.7759/cureus.6035
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