Left Sided Appendicitis: Once Burned Twice Shy

Acute appendicitis is one of the most common surgical conditions that are diagnosed in children presenting with acute abdominal pain in the emergency department. An atypical presentation of symptoms is encountered in 30% of cases. Atypical localization of the appendix as in left sided appendicitis...

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Main Authors: Christos Kaselas, Ioannis Spyridakis, Dimitrios Patoulias, Paschalis Tsioulas, Ioannis Patoulias
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/7210/16739_CE[Ra1]_F(AK)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf
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author Christos Kaselas
Ioannis Spyridakis
Dimitrios Patoulias
Paschalis Tsioulas
Ioannis Patoulias
author_facet Christos Kaselas
Ioannis Spyridakis
Dimitrios Patoulias
Paschalis Tsioulas
Ioannis Patoulias
author_sort Christos Kaselas
collection DOAJ
description Acute appendicitis is one of the most common surgical conditions that are diagnosed in children presenting with acute abdominal pain in the emergency department. An atypical presentation of symptoms is encountered in 30% of cases. Atypical localization of the appendix as in left sided appendicitis, although rare, has an increased risk of missed or delayed diagnosis. We present two consecutive cases of left sided appendicitis in order to describe how increased awareness in the second case helped us to avoid pitfalls in the management and diagnosis of this atypical and variant condition. Increased cautiousness and awareness of left sided appendicitis can assist emergency physicians to avoid pitfalls in the management and diagnosis of this atypical and variant condition.
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spelling doaj.art-cff9a4cc0c314ce8a5cba2f61379fb392022-12-21T21:17:23ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-02-01102PD07PD0910.7860/JCDR/2016/16739.7210Left Sided Appendicitis: Once Burned Twice ShyChristos Kaselas0Ioannis Spyridakis1Dimitrios Patoulias2Paschalis Tsioulas3Ioannis Patoulias4Pediatric Surgeon, 1st Pediatric Surgery Department, “Aristotle” University Medical School, “G. Gennimatas” General and University Hospital, Thessaloniki, Greece.Pediatric Surgeon, 1st Pediatric Surgery Department, “Aristotle” University Medical School, “G. Gennimatas” General and University Hospital, Thessaloniki, Greece.Medical Student, 1st Pediatric Surgery Department, “Aristotle” University Medical School, “G. Gennimatas” General and University Hospital, Thessaloniki, Greece.Resident in training, 1st Pediatric Surgery Department, “Aristotle” University Medical School, “G. Gennimatas” General and University Hospital, Thessaloniki, Greece.Pediatric Surgeon, 1st Pediatric Surgery Department, “Aristotle” University Medical School, “G. Gennimatas” General and University Hospital, Thessaloniki, Greece.Acute appendicitis is one of the most common surgical conditions that are diagnosed in children presenting with acute abdominal pain in the emergency department. An atypical presentation of symptoms is encountered in 30% of cases. Atypical localization of the appendix as in left sided appendicitis, although rare, has an increased risk of missed or delayed diagnosis. We present two consecutive cases of left sided appendicitis in order to describe how increased awareness in the second case helped us to avoid pitfalls in the management and diagnosis of this atypical and variant condition. Increased cautiousness and awareness of left sided appendicitis can assist emergency physicians to avoid pitfalls in the management and diagnosis of this atypical and variant condition.https://jcdr.net/articles/PDF/7210/16739_CE[Ra1]_F(AK)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdfappendectomyabdominal painmisdiagnosis
spellingShingle Christos Kaselas
Ioannis Spyridakis
Dimitrios Patoulias
Paschalis Tsioulas
Ioannis Patoulias
Left Sided Appendicitis: Once Burned Twice Shy
Journal of Clinical and Diagnostic Research
appendectomy
abdominal pain
misdiagnosis
title Left Sided Appendicitis: Once Burned Twice Shy
title_full Left Sided Appendicitis: Once Burned Twice Shy
title_fullStr Left Sided Appendicitis: Once Burned Twice Shy
title_full_unstemmed Left Sided Appendicitis: Once Burned Twice Shy
title_short Left Sided Appendicitis: Once Burned Twice Shy
title_sort left sided appendicitis once burned twice shy
topic appendectomy
abdominal pain
misdiagnosis
url https://jcdr.net/articles/PDF/7210/16739_CE[Ra1]_F(AK)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf
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AT ioannisspyridakis leftsidedappendicitisonceburnedtwiceshy
AT dimitriospatoulias leftsidedappendicitisonceburnedtwiceshy
AT paschalistsioulas leftsidedappendicitisonceburnedtwiceshy
AT ioannispatoulias leftsidedappendicitisonceburnedtwiceshy