Subhepatically located appendicitis due to adhesions: a case report

doi:10.1186/1752-1947-2-339

Journal of Medical Case Reports

Volume 2

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Case report

Subhepatically located appendicitis due to adhesions: a case report

Joseph YS Ting¹^,2 and Rebecca Farley³

¹Department of Emergency Medicine, Mater Adult Hospital, Raymond Tce, South Brisbane 4101, Australia

²University of Queensland Medical School, Brisbane, Queensland, Australia

³Mater Public Hospitals, Raymond Tce, South Brisbane 4101, Australia

author email corresponding author email

Journal of Medical Case Reports 2008, 2:339doi:10.1186/1752-1947-2-339


Published:	31 October 2008

Abstract

Introduction

Acute appendicitis occurs frequently and is a major indication for acute abdominal surgery. Subhepatic appendicitis has rarely been reported and is more difficult to diagnose.

Case presentation

A 71-year-old man with multiple medical comorbidities presented with undifferentiated right abdominal pain. Diagnostic difficulty was encountered due to subhepatic mal-location of the appendix and subsequently atypical presentation for acute appendicitis.

Conclusion

Subhepatic anatomical location of the appendix makes it more difficult to diagnose acute appendicitis at any age, including in older adults.