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[Extraperitoneal appendicular calculi (author's transl)]

F Ruiz Perales, R Lorente Dinnbier

    Journal De Radiologie, D'Electrologie, Et De Medecine Nucleaire
    |February 1, 1977
    PubMed
    Summary
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    Retrocecal and extraperitoneal appendix cases present with atypical signs and potential for perforation. Early diagnosis via barium enema and prompt surgery are crucial for appendicitis management.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Retrocecal and extraperitoneal appendix positions are rare anatomical variations.
    • Appendicitis in these locations can present with atypical clinical manifestations.

    Observation:

    • Two cases of retrocecal and extraperitoneal appendix are presented.
    • Patients exhibited atypical signs, slow disease progression, perforation, and abscess formation.

    Findings:

    • Radiological diagnosis relies on barium enema to visualize appendiceal calculus and the appendix.
    • The presence of appendiceal calculus with clinical signs necessitates urgent surgical intervention.

    Implications:

    • Prompt surgical management is vital for retrocecal and extraperitoneal appendicitis.

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  • Prophylactic appendicectomy may be considered in asymptomatic cases with identified calculus.