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[Intrathoracic acute appendicitis. A case report]
R Fahed1, L Menassa-Moussa, C Sader-Ghorra
1Service d'imagerie médicale, Hôtel-Dieu de France, boulevard Alfred-Nacchache, Achrafieh, Beyrouth, Liban. reinefahed@gmail.com
Abstract:
Intrathoracic appendicitis is an uncommon diagnosis. We report the case of a 6-year-old boy with elevated CRP and no fever, who complained of nonspecific abdominal pain. A diaphragmatic hernia was suspected on a chest X-ray and confirmed by an ultrasound examination. A multidetector CT scan revealed intrathoracic acute appendicitis associated with a right posterolateral Bochdalek hernia. Abdominal diseases associated with late-presenting congenital diaphragmatic hernia are often manifested by an atypical clinical presentation, which can be a source of delay or error in diagnosis. We recommend radiological exploration in the case of diaphragmatic hernia, even with subtle clinical findings in the search of associated gastrointestinal complications.
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