Limits...
Case report of recurrent acute appendicitis in a residual tip.

O'Leary DP, Myers E, Coyle J, Wilson I - Cases J (2010)

Bottom Line: Residual appendicitis involving the stump of the appendix has been well described in the literature in the past.Ultrasound revealed the presence of an inflamed tubular structure.Subsequent laparotomy and histology confirmed that this structure was an inflamed residual appendiceal tip.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Saint Luke's Hospital, Kilkenny, Ireland.

ABSTRACT

Introduction: Residual appendicitis involving the stump of the appendix has been well described in the literature in the past.

Case report: We report the case of a 43 year old male with acute onset of abdominal pain who had undergone an appendicectomy ten years previously. Ultrasound revealed the presence of an inflamed tubular structure. Subsequent laparotomy and histology confirmed that this structure was an inflamed residual appendiceal tip.

Conclusion: Residual tip appendicitis has not been reported in the literature previously and should be considered in the differential diagnosis of localised peritonitis in a patient with a history of a previous open appendicectomy.

No MeSH data available.


Related in: MedlinePlus

Ultrasound showing an inflamed tubular structure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2821303&req=5

Figure 1: Ultrasound showing an inflamed tubular structure.

Mentions: We report the case of a 43 year old male who presented with sudden onset of severe abdominal pain. His symptoms were consistent with acute cholecystitis. He was unable to speak English and communicated via an interpreter. On examination a Battle's incision was noted. He claimed that this was due to a previous cholecystectomy completed ten years previous in his home country. He demonstrated signs of localised peritonitis in the right upper quadrant. Inflammatory markers were elevated. A clinical diagnosis of acute cholecystitis was made and broad spectrum antibiotics commenced. An ultrasound was performed and this confirmed the presence of a non-inflamed gallbladder which did not contain gallstones. However, it did reveal an inflamed tubular, non-compressible, non-peristalting, blind-ending structure intimately related to the liver suggesting sub-hepatic appendicitis (Figure 1).


Case report of recurrent acute appendicitis in a residual tip.

O'Leary DP, Myers E, Coyle J, Wilson I - Cases J (2010)

Ultrasound showing an inflamed tubular structure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2821303&req=5

Figure 1: Ultrasound showing an inflamed tubular structure.
Mentions: We report the case of a 43 year old male who presented with sudden onset of severe abdominal pain. His symptoms were consistent with acute cholecystitis. He was unable to speak English and communicated via an interpreter. On examination a Battle's incision was noted. He claimed that this was due to a previous cholecystectomy completed ten years previous in his home country. He demonstrated signs of localised peritonitis in the right upper quadrant. Inflammatory markers were elevated. A clinical diagnosis of acute cholecystitis was made and broad spectrum antibiotics commenced. An ultrasound was performed and this confirmed the presence of a non-inflamed gallbladder which did not contain gallstones. However, it did reveal an inflamed tubular, non-compressible, non-peristalting, blind-ending structure intimately related to the liver suggesting sub-hepatic appendicitis (Figure 1).

Bottom Line: Residual appendicitis involving the stump of the appendix has been well described in the literature in the past.Ultrasound revealed the presence of an inflamed tubular structure.Subsequent laparotomy and histology confirmed that this structure was an inflamed residual appendiceal tip.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Saint Luke's Hospital, Kilkenny, Ireland.

ABSTRACT

Introduction: Residual appendicitis involving the stump of the appendix has been well described in the literature in the past.

Case report: We report the case of a 43 year old male with acute onset of abdominal pain who had undergone an appendicectomy ten years previously. Ultrasound revealed the presence of an inflamed tubular structure. Subsequent laparotomy and histology confirmed that this structure was an inflamed residual appendiceal tip.

Conclusion: Residual tip appendicitis has not been reported in the literature previously and should be considered in the differential diagnosis of localised peritonitis in a patient with a history of a previous open appendicectomy.

No MeSH data available.


Related in: MedlinePlus