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Posterior hepatodiaphragmatic interposition of the colon complicated by appendicitis

W A Cumming1, D W Kays

  • 1Department of Radiology, University of Florida, Gainesville 32610.

Journal of Pediatric Surgery
|December 1, 1994
PubMed

Insights

Posterior hepatodiaphragmatic interposition, a rare cecal malposition, can cause misleading subphrenic symptoms when the appendix is inflamed. Radiologists must identify and differentiate anterior and posterior forms for accurate diagnosis.

Area of Science:

  • Gastroenterology
  • Radiology
  • Anatomy

Background:

  • Posterior hepatodiaphragmatic interposition is a rare congenital anomaly involving cecal malposition.
  • This condition often remains asymptomatic and clinically insignificant throughout life.

Observation:

  • Inflammation of the appendix in cases of posterior hepatodiaphragmatic interposition can present with atypical symptoms.
  • Symptoms may mimic subphrenic disease, potentially confusing clinical diagnosis.

Findings:

  • The study highlights the diagnostic challenge posed by appendiceal inflammation in the presence of posterior hepatodiaphragmatic interposition.
  • Radiological identification of anterior and posterior hepatodiaphragmatic interposition is crucial.

Implications:

  • Accurate radiological reporting of hepatodiaphragmatic interposition is essential for correct clinical management.
  • Differentiating between anterior and posterior types aids in understanding potential symptom presentation and guiding treatment.

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