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Subhepatically located appendicitis due to adhesions: a case report
Joseph Y S Ting1, Rebecca Farley
1Department of Emergency Medicine, Mater Adult Hospital, Raymond Tce, Australia. Joseph.Ting@mater.org.au
Introduction:
Acute appendicitis occurs frequently and is a major indication for acute abdominal surgery. Subhepatic appendicitis has rarely been reported and is more difficult to diagnose.
Case Presentation:
A 71-year-old man with multiple medical comorbidities presented with undifferentiated right abdominal pain. Diagnostic difficulty was encountered due to subhepatic mal-location of the appendix and subsequently atypical presentation for acute appendicitis.
Conclusion:
Subhepatic anatomical location of the appendix makes it more difficult to diagnose acute appendicitis at any age, including in older adults.
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