Synchronous Acute Appendicitis and Acute Cholecystitis

The occurrence of synchronous acute cholecystitis and appendicitis is rare. There are few cases reported and small series in the literature. We report the case of a 77-year-old male who presented to the emergency department with right-sided abdominal pain. He was diagnosed preoperatively with acute...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e37248
Main Authors: Flores, Luis F, Morillo Cox, Álvaro, Fernandez Trokhimtchouk, Tatiana, Otañez, Estefanie S, Ayala, Andrés V
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Appendectomy
Appendicitis
Appendix
Blood tests
Case reports
Cholecystectomy
Emergency medical care
Gallbladder
Gallbladder diseases
General Surgery
Inflammation
Laparoscopy
Pain
Patients
Sludge
Surgery
Tumors
Ultrasonic imaging
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Summary:The occurrence of synchronous acute cholecystitis and appendicitis is rare. There are few cases reported and small series in the literature. We report the case of a 77-year-old male who presented to the emergency department with right-sided abdominal pain. He was diagnosed preoperatively with acute calculous cholecystitis. During the initial laparoscopy, a complicated appendiceal phlegmon was found and was treated with a one-step laparoscopic approach and subsequent antibiotics. The patient had an uneventful recovery and was discharged on postoperative day (POD) 2. The pathology report confirmed both diagnoses and an incidental low-grade appendiceal mucinous neoplasm. Although uncommon, it is important to be aware of the possibility of both simultaneous pathologies in a patient who presents to the emergency department with abdominal pain.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.37248