Citation, DOI and case data
Right hypochondrial pain, nausea and vomiting.
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The appendix tip lies in a subhepatic position and is dilated measures about 10 mm with mild surrounding fat stranding.
Gall bladder appears normal , with no calcified GB stones.
Histopathology report :
Section shows appendicular tissue with acute inflammation ,lymphoid hyperplasia and serosal vascular congestion.negative for atypia.
Features of acute appendicitis.
Subhepatic appendicitis is an exceedingly rare presentation, accounting for 0.01% of acute appendicitis cases. It is of prime importance to be aware of variants and manage such challenging cases accordingly.
- Chong H, Chai F, Balakrishnan D, Asilah S, Adila I, Syibrah K. Malrotated Subhepatic Caecum with Subhepatic Appendicitis: Diagnosis and Management. Case Reports in Surgery. 2016;2016:1-3. doi:10.1155/2016/6067374 - Pubmed
- Ball W & Privitera A. Subhepatic Appendicitis: A Diagnostic Dilemma. Case Reports. 2013;2013(apr18 1):bcr2013009454. doi:10.1136/bcr-2013-009454 - Pubmed