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. 2008 Oct 31:2:339.
doi: 10.1186/1752-1947-2-339.

Subhepatically located appendicitis due to adhesions: a case report

Joseph Y S Ting  1 , Rebecca Farley
Affiliations

Subhepatically located appendicitis due to adhesions: a case report

Joseph Y S Ting et al. J Med Case Rep. .

Abstract

Introduction: Acute appendicitis occurs frequently and is a major indication for acute abdominal surgery. Subhepatic appendicitis has rarely been reported and is more difficult to diagnose.

Case presentation: A 71-year-old man with multiple medical comorbidities presented with undifferentiated right abdominal pain. Diagnostic difficulty was encountered due to subhepatic mal-location of the appendix and subsequently atypical presentation for acute appendicitis.

Conclusion: Subhepatic anatomical location of the appendix makes it more difficult to diagnose acute appendicitis at any age, including in older adults.

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Figures

Figure 1
Figure 1
Subhepatic appendicitis with faecolith in situ.
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