Subhepatic caecum

Case contributed by Dr Dalia Ibrahim

Presentation

Epigastric pain. Incidental finding on CT scan of the abdomen and pelvis.

Patient Data

Age: 40-year-old
Gender: Male
CT

Subhepatic position of the caecum.

Few mildly enlarged (subcentimeter) mesenteric lymph nodes. 

Mural thickening of the gastric body and antrum as well as the proximal duoudenum. 

Case Discussion

The subhepatic position of the cecum and appendix is a normal variant which might be a diagnostic dilemma in case of acute appendicitis because the tenderness in such cases is not located at the McBurney's point.

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Case information

rID: 38206
Case created: 10th Jul 2015
Last edited: 29th Nov 2015
Inclusion in quiz mode: Excluded

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