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Three times a charm… a case of repeat appendicitis status post two prior appendectomies
1Hackensack University Medical Center, Emergency Trauma Center, Hackensack, NJ, USA.
Recurrent appendicitis after two prior appendectomies is rare. This case highlights the importance of considering appendicitis in patients with right lower quadrant pain, even after multiple surgeries.
Area of Science:
- Medicine
- Surgery
- Gastroenterology
Background:
- Appendicitis involves bacterial proliferation and inflammation of the vermiform appendix.
- Recurrent appendicitis post-appendectomy is uncommon.
- No prior cases of recurrent appendicitis after two appendectomies have been reported.
Observation:
- A 32-year-old male presented with right lower quadrant pain.
- He had undergone two previous appendectomies for recurrent appendicitis.
- Abdominal CT revealed an inflamed appendix.
Findings:
- This is the first reported case of recurrent appendicitis after two appendectomies.
- The patient presented with typical symptoms of appendicitis.
Implications:
- Emergency physicians should maintain a high index of suspicion for appendicitis in patients with right lower quadrant pain, regardless of prior appendectomies.
- Prompt diagnosis and management are crucial for improved patient outcomes and reduced complications.
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