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Appendicitis

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

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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

Journal of Medical Case Reports

|November 1, 2008

Summary

Subhepatic appendicitis, a rare condition, presents diagnostic challenges due to the appendix's unusual location. This case highlights the difficulties in diagnosing acute appendicitis in older adults with atypical presentations.

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Area of Science:

Gastroenterology
Surgical Anatomy
Emergency Medicine

Background:

Acute appendicitis is a common surgical emergency.
Subhepatic appendicitis is an uncommon variant with diagnostic challenges.

Purpose of the Study:

To report a case of subhepatic appendicitis in an elderly patient.
To highlight diagnostic difficulties associated with this anatomical variation.

Main Methods:

Case presentation of a 71-year-old male with right abdominal pain.
Evaluation of diagnostic challenges due to atypical presentation and appendix location.

Main Results:

The patient presented with undifferentiated right abdominal pain.
Subhepatic mal-location of the appendix led to diagnostic difficulty.

Conclusions:

Subhepatic appendicitis poses diagnostic challenges across all age groups.
Atypical presentations in older adults can further complicate diagnosis.