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Appendagitis following Diagnostic Laparoscopy and Laparoscopic Appendicectomy

R Kumar1, R F Bamford2, D Kumar2

  • 1Department of Surgery, William Harvey Hospital, Ashford, Kent TN24 0LZ, UK.

Case Reports in Surgery
|July 28, 2016
PubMed

Insights

Appendagitis, an uncommon condition, can occur after appendicitis and may require laparoscopic resection. Early recognition is key for patients experiencing localized abdominal pain post-appendicitis.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendagitis is an uncommon clinical entity often misdiagnosed as more serious infections.
  • It is frequently mistaken for other abdominal pathologies, leading to delayed diagnosis.

Purpose of the Study:

  • To describe a case of appendagitis occurring subsequent to confirmed appendicitis.
  • To postulate the coexistence and potential causal link between appendicitis and appendagitis through coinflammation.

Main Methods:

  • Case report detailing a proven instance of appendagitis.
  • Clinical observation and diagnostic evaluation of localized abdominal pain following appendicitis.

Main Results:

  • A confirmed case of appendagitis was identified after a prior diagnosis of appendicitis.
  • The findings suggest appendagitis can coexist with or result from appendicitis.

Conclusions:

  • Clinicians should maintain a high index of suspicion for appendagitis in patients with post-appendicitis abdominal pain.
  • Careful examination of associated appendages is warranted in cases of normal-appearing appendix with persistent pain.
  • Laparoscopic resection may be a necessary treatment for appendagitis.

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