Presentation
Epigastric pain. Incidental finding on CT scan of the abdomen and pelvis.
Patient Data
Age: 40 years
Gender: Male
From the case:
Subhepatic caecum
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Subhepatic position of the caecum.
Few mildly enlarged (subcentimetre) mesenteric lymph nodes.
Mural thickening of the gastric body and antrum as well as the proximal duodenum.
Case Discussion
The subhepatic position of the caecum and appendix is a normal variant which might present a diagnostic dilemma in cases of acute appendicitis because tenderness in such cases is not typically located at McBurney's point.
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