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Synchronous Acute Appendicitis and Acute Cholecystitis: A Case Report
Mihaela Kancheva1, Vladimir Neychev1
1Surgery, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|July 17, 2023
Summary
Synchronous acute appendicitis and acute cholecystitis are rare emergency department diagnoses. This case report highlights a rare presentation of both conditions, emphasizing the need for further research into this pathological combination.
Area of Science:
- Gastroenterology
- General Surgery
Background:
- Acute cholecystitis (AC) and acute appendicitis (AA) are common emergency department diagnoses.
- Their simultaneous occurrence is exceptionally rare, posing diagnostic challenges.
Observation:
- A 31-year-old male presented with right upper and lower quadrant abdominal pain, nausea, and vomiting.
- Physical examination revealed Murphy's sign and right lower quadrant tenderness with rebound.
- Laboratory tests showed leukocytosis with a left shift.
Findings:
- Abdominal ultrasound and CT scan confirmed concurrent acute appendicitis and acute cholecystitis.
- A literature review indicated a scarcity of published cases on concomitant AC and AA.
Implications:
- This case contributes to the limited literature on simultaneous AC and AA.
- Further case reports are crucial for understanding the pathophysiology and optimizing management strategies for this rare condition.
