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Retrocecal appendicitis presenting with air in the subhepatic space
AJR. American Journal of Roentgenology
|February 1, 1976
Summary
Retrocecal appendicitis can cause a rare air-filled subhepatic abscess. Radiologists should consider this unusual cause in differential diagnoses for right subhepatic air findings.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Pathology
Background:
- Appendicitis is a common surgical emergency.
- Perforation leads to abscess formation.
- The location of appendicitis influences presentation.
Observation:
- Two cases of perforated retrocecal appendicitis were identified.
- Patients presented with air in the subhepatic space on roentgen findings.
- This air collection was diagnosed as a subhepatic abscess.
Findings:
- Retrocecal appendicitis is an uncommon cause of subhepatic abscess.
- Roentgenographic evidence of air in the subhepatic space can indicate this condition.
- The abscess contained air, a key diagnostic feature.
Implications:
- Radiologists should include retrocecal appendicitis in their differential diagnosis for subhepatic air.
- Early recognition can prevent complications associated with delayed diagnosis.
- This finding highlights the importance of considering anatomical variations in appendicitis.