Uncomplicated Subhepatic Appendicitis: Case Report and Literature Review
Keywords:Acute Appendicitis, Anatomy Variant, Diagnoses, Treatment
Introduction: Subhepatic appendicitis symptoms in adults are low in frequency with atypical symptoms, which makes early diagnosis and management difficult. Clinical case: 33-year-old male, with a 24-hour evolution condition characterized by diarrheal evacuations, treated with antibiotics. Subsequently, he presented with vomiting, colicky abdominal pain, and a fever of 39 °C. With a clinical picture compatible with an appendicular process, an exploratory laparotomy was performed with suspicion of an appendicular process in the subhepatic, finding an inflamed appendix, 5 cm long, with an appendectomy. Discussion: Atypical signs and symptoms may be observed. These may include left-sided abdominal pain, which is located in the left upper quadrant. While the appendage on the side left is relatively rare and occurs in approximately 0.02% of the adult population, it is more likely to occur in people with intestinal malrotation or situs inversus. Conclusions: All the anatomical variants of the appendix must be considered due to the multiple clinical presentations, with an atypical presentation and the diagnosis is masked.
How to Cite
Copyright (c) 2023 Flores-Garcia, A. E., Ramírez-Vázquez, J. L.; Gonzalez-Dominguez, F. D.; Betanzos-Planell, A. C., Dominguez-Jimenez, M., Torres-Huerta, B.
This work is licensed under a Creative Commons Attribution 4.0 International License.