A rare case: Retrocecal appendicitis adherent to the liver capsule
Hasan Börekci1, Sinan Karacabey2, Mesut Sipahi1, Zeynep Tuğba Özdemir3, Mustafa Fatih Erkoç4
1Department of General Surgery, Bozok University Faculty of Medicine, Yozgat, Turkey
2Department of Emergency, Bozok University Faculty of Medicine, Yozgat, Turkey
3Department of Internal Medicine, Bozok University Faculty of Medicine, Yozgat, Turkey
4Department of Radiology, Bozok University Faculty of Medicine, Yozgat, Turkey
Abstract
The cases of appendicitis take an important place in the hospital emergency departments and it must be kept in mind in the differential diagnosis of patients presenting with abdominal pain. Related to cecum, the appendix can be found in many different positions; however, it is mostly observed descending intraperitoneally (31–74%) and at the retrocecal region (26–65%). In this case report, we present the case of a 26-year-old female patient admitted to the emergency room with a colic pain in the right upper quadrant for about 2 days. Computed tomography revealed contamination in the fatty plans around the cecum and adhesive retrocecal appendicitis from the liver to the retroperitoneum. Appendectomy was performed. The pathology result was gangrenous appendicitis. In the literature, there is no similar case of appendicitis with hepatic adhesions. In conclusion, we want to emphasize that physicians and surgeons in the emergency departments must be more careful during the differential diagnosis of a patient with appendicitis and atypical symptoms and a more detailed investigation is required.
Keywords: Appendicitis, retrocecal appendix, liver capsule
Cite this paper as: Börekci H, Karacabey S, Sipahi M, Özdemir ZT, Erkoç MF. A rare case: Retrocecal appendicitis adherent to the liver capsule. Turk J Surg 2017; 33: 227-229.
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - H.B.; Design - H.B., Z.T.Ö.; Supervision - M.S., S.K.; Funding - H.B., Z.T.Ö.; Materials - H.B.; Data Collection and/or Processing - H.B., S.K., M.S., M.F.E.; Analysis and/or Interpretation - H.B., M.S., M.F.E.; Literature Review - H.B., Z.T.Ö.; Writer - H.B., Z.T.Ö.; Critical Review - M.S., M.F.E.; Other - S.K.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.