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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

430
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...
430
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

129
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...
129
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

353
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
353

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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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A peculiar appendix: A case report.

B M Munasinghe1, C T Karunatileke2, G G C Hewawasam3

  • 1Department of Anaesthesiology and Intensive care, District General Hospital, Mannar, Sri Lanka; Department of Anaesthesiology and Intensive care, Queen Elizabeth the Queen Mother Hospital, Ramsgate Rd, Margate, UK.

International Journal of Surgery Case Reports
|October 20, 2022
PubMed
Summary
This summary is machine-generated.

This case report details a rare instance of acute appendicitis in the ascending colon, presenting with atypical right upper abdominal pain. This unusual appendix location led to diagnostic challenges and required surgical intervention.

Keywords:
Appendicular agenesisAppendicular duplicationAppendixAscending colonCase report

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute appendicitis typically presents with right lower quadrant pain.
  • Variations in appendix anatomy can lead to atypical clinical presentations.

Observation:

  • A young male presented with right upper abdominal pain, initially suspected as non-appendiceal.
  • Abdominal ultrasound failed to locate the appendix in the typical right iliac fossa.
  • Persistent symptoms and elevated inflammatory markers necessitated surgical exploration.

Findings:

  • The first documented case of a vermiform appendix located within the ascending colon.
  • Histological examination confirmed acute appendicitis in the abnormally positioned appendix.

Implications:

  • Atypical appendix locations can cause diagnostic delays and necessitate surgical intervention.
  • Understanding rare anatomical variations is crucial for accurate diagnosis and management of abdominal pain.