Subhepatic appendicitis

Case contributed by Dr Mustafa Hammad

Presentation

Right hypochondrial pain, nausea and vomiting.

Patient Data

Age: 30 years
Gender: Male
CT

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. 

 

Case Discussion

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.

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