Subhepatic appendix: an ectopic topography not to be disregarded: a case report.

Autor: Ibrahim Mamadou AK; Department of Medicine and Medical Specialties, Regional Hospital Center of Tahoua, Tahoua, Niger. kader.ibrahim@yahoo.fr., Mounkaila S; Department of Surgery and Surgical Specialties, Regional Hospital Center of Tahoua, Tahoua, Niger., Hama Aghali N; Department of Biology, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger., Harouna Amadou ML; Department of Infectiology, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger., Adakal O; Department of Surgery, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2021 May 31; Vol. 15 (1), pp. 288. Date of Electronic Publication: 2021 May 31.
DOI: 10.1186/s13256-021-02883-6
Abstrakt: Introduction: Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis.
Case Presentation: We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation.
Conclusion: Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.
Databáze: MEDLINE
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