Universität zu Köln

Chiapponi, Costanza, Jannasch, Olof, Petersen, Manuela, Lessel, Wiebke, Bruns, Christiane and Meyer, Frank (2017). A rare case of perforated sub-hepatic appendicitis - a challenging differential diagnosis of acute abdomen based on the combination of appendicitis and maldescent of the caecum. Pathol. Res. Pract., 213 (1). S. 75 - 79. MUNICH: ELSEVIER GMBH. ISSN 0344-0338

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Abstract

Unusual locations of the appendix vermiformis can result in delay in appropriate diagnosis and treatment of appendicitis. So an inflamed appendix in a sub-hepatic caecum caused by caecal maldescent for example can mimic cholecystitis, the pain being localized in the right upper quadrant. Here, we present a case of perforated sub-hepatic appendicitis with peritonitis, requiring open ileocaecal resection. Review of the existing literature has demonstrated that this pathology is uncommon, yet not so rare as one might presume. In conclusion, surgeons should be aware of this possibility in the diagnostic and therapeutic management of acute abdomen. (C) 2016 Published by Elsevier GmbH.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Chiapponi, Costanza UNSPECIFIED UNSPECIFIED UNSPECIFIED Jannasch, Olof UNSPECIFIED UNSPECIFIED UNSPECIFIED Petersen, Manuela UNSPECIFIED UNSPECIFIED UNSPECIFIED Lessel, Wiebke UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-247651
DOI:	10.1016/j.prp.2016.11.006
Journal or Publication Title:	Pathol. Res. Pract.
Volume:	213
Number:	1
Page Range:	S. 75 - 79
Date:	2017
Publisher:	ELSEVIER GMBH
Place of Publication:	MUNICH
ISSN:	0344-0338
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ASCENDING RETROCECAL APPENDICITIS; SUBHEPATIC APPENDICITIS; APPENDECTOMY Multiple languages Pathology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/24765