Subhepatic appendix: an ectopic topography not to be disregarded: a case report
Abstract 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 presen...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-021-02883-6 |
| _version_ | 1818666850958966784 |
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| author | Abdoul Kadir Ibrahim Mamadou Souleymane Mounkaila Nouhou Hama Aghali Mahaman Laouali Harouna Amadou Ousseini Adakal |
| author_facet | Abdoul Kadir Ibrahim Mamadou Souleymane Mounkaila Nouhou Hama Aghali Mahaman Laouali Harouna Amadou Ousseini Adakal |
| author_sort | Abdoul Kadir Ibrahim Mamadou |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-17T06:11:05Z |
| format | Article |
| id | doaj.art-52f6d7d9610047c88ff5a39efe141a99 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-17T06:11:05Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-52f6d7d9610047c88ff5a39efe141a992022-12-21T22:00:38ZengBMCJournal of Medical Case Reports1752-19472021-05-011511410.1186/s13256-021-02883-6Subhepatic appendix: an ectopic topography not to be disregarded: a case reportAbdoul Kadir Ibrahim Mamadou0Souleymane Mounkaila1Nouhou Hama Aghali2Mahaman Laouali Harouna Amadou3Ousseini Adakal4Department of Medicine and Medical Specialties, Regional Hospital Center of TahouaDepartment of Surgery and Surgical Specialties, Regional Hospital Center of TahouaDepartment of Biology, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of MaradiDepartment of Infectiology, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of MaradiDepartment of Surgery, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of MaradiAbstract 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.https://doi.org/10.1186/s13256-021-02883-6PeritonitisSubhepatic appendixEmbryogenesisCase report |
| spellingShingle | Abdoul Kadir Ibrahim Mamadou Souleymane Mounkaila Nouhou Hama Aghali Mahaman Laouali Harouna Amadou Ousseini Adakal Subhepatic appendix: an ectopic topography not to be disregarded: a case report Journal of Medical Case Reports Peritonitis Subhepatic appendix Embryogenesis Case report |
| title | Subhepatic appendix: an ectopic topography not to be disregarded: a case report |
| title_full | Subhepatic appendix: an ectopic topography not to be disregarded: a case report |
| title_fullStr | Subhepatic appendix: an ectopic topography not to be disregarded: a case report |
| title_full_unstemmed | Subhepatic appendix: an ectopic topography not to be disregarded: a case report |
| title_short | Subhepatic appendix: an ectopic topography not to be disregarded: a case report |
| title_sort | subhepatic appendix an ectopic topography not to be disregarded a case report |
| topic | Peritonitis Subhepatic appendix Embryogenesis Case report |
| url | https://doi.org/10.1186/s13256-021-02883-6 |
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