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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Updated: Aug 29, 2025

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Left-sided appendicitis due to anatomical variation: A case report.

Qiang Hu1, Jianfeng Shi1, Yuanshui Sun1

  • 1Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China.

Frontiers in Surgery
|September 12, 2022
PubMed
Summary

Left-sided appendicitis, a rare condition, occurred in a patient with the right colon in the left abdomen. Prompt laparoscopic exploration was crucial for diagnosis and treatment of this unusual presentation.

Keywords:
abdominal painacute appendicitiscase reportintestinal malrotationleft side

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Left-sided appendicitis is a rare condition, often leading to misdiagnosis.
  • Abnormal positioning of abdominal organs, such as colonic heterotopia, can complicate appendicitis diagnosis.

Observation:

  • A 39-year-old male presented with acute left lower abdominal pain.
  • Abdominal CT revealed an unvisualized appendix and a left lower quadrant mass.
  • Laparoscopic exploration identified the cecum and ascending colon in the left iliac fossa with an inflamed appendix.

Findings:

  • Acute appendicitis was confirmed in a patient with left-sided heterotopia of the right colon.
  • Laparoscopic appendectomy was successfully performed.
  • The patient recovered uneventfully and was discharged within 3 days.

Implications:

  • This case highlights the importance of considering rare anatomical variations in diagnosing left-sided abdominal pain.
  • Timely laparoscopic exploration is vital for accurate diagnosis and management of suspected left-sided appendicitis when initial imaging is inconclusive.
  • Vigilance and prompt surgical intervention are critical to prevent complications from misdiagnosed appendicitis.