Surgical management of subhepatic perforated appendicitis: a case report

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. We present a case of a middle-aged Saudi woman with subhepatic perforated appendicitis and p...

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Bibliographic Details
Published in:Journal of medical case reports 2020-09, Vol.14 (1), p.151-151, Article 151
Main Authors: Hakim, Mumin, Mostafa, Rania, Al Shehri, Mohammed, Sharawy, Sherif
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Acute Disease
Appendectomy
Appendicitis
Appendicitis - complications
Appendicitis - diagnostic imaging
Appendicitis - surgery
Appendix
Blood pressure
Case Report
Case reports
Female
Gallbladder diseases
Hepatitis
Humans
Laparoscopy
Laparotomy
Liver
Metronidazole
Middle age
Middle Aged
Pain
Patients
Peritonitis
Peritonitis - etiology
Peritonitis - surgery
Subhepatic appendicitis
Surgeons
Ultrasonic imaging
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Summary: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. We present a case of a middle-aged Saudi woman with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy. The initial diagnosis and surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of the literature.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-020-02499-2