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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

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Synchronous Acute Appendicitis and Acute Cholecystitis.

Luis F Flores¹, Álvaro Morillo Cox¹, Tatiana Fernandez Trokhimtchouk¹

¹General Surgery, Universidad Internacional del Ecuador/Axxis Hospital, Quito, ECU.

|May 11, 2023

Summary

Synchronous acute cholecystitis and appendicitis are rare but can occur simultaneously. This case highlights the importance of considering both conditions in patients with abdominal pain.

Keywords:

appendicitis cholecystitis laparoscopy surgical acute abdomen synchronous

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Acute cholecystitis and appendicitis are common surgical emergencies.
Simultaneous occurrence of both conditions is exceptionally rare in medical literature.

Observation:

A 77-year-old male presented with right-sided abdominal pain, diagnosed with acute calculous cholecystitis.
Laparoscopy revealed a complicated appendiceal phlegmon, necessitating a one-step laparoscopic treatment.

Findings:

The patient recovered well after a one-step laparoscopic approach and antibiotics.
Pathology confirmed acute cholecystitis and appendicitis, along with an incidental low-grade appendiceal mucinous neoplasm.

Implications:

Awareness of simultaneous acute cholecystitis and appendicitis is crucial for emergency department presentations.
This rare presentation underscores the need for thorough diagnostic evaluation in abdominal pain cases.