Euroasian Journal of Hepato-Gastroenterology

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VOLUME 3 , ISSUE 1 ( January-June, 2013 ) > List of Articles

CASE REPORT

Retroperitoneal Appendicitis: A Surgical Dilemma

Basil George Verghese, Sanjana Kalvehalli Kashinath, R Ravikanth

Citation Information : George Verghese B, Kalvehalli Kashinath S, Ravikanth R. Retroperitoneal Appendicitis: A Surgical Dilemma. Euroasian J Hepatogastroenterol 2013; 3 (1):83-84.

DOI: 10.5005/jp-journals-10018-1070

License: CC BY-NC 4.0

Published Online: 00-00-0000


Abstract

Introduction: Acute appendicitis is frequently encountered in both the surgical OPD and emergency room setting. But, a retroperitoneal appendicitis is very rarely seen and the literature available on it is scarce. Case report: We wish to present a case of a 26 years old female who presented to the emergency room with features of appendicitis and on whom an appendectomy was done. But during the surgery, the appendix was found situated retroperitoneally and had to be removed via a retrograde approach. We followed it with a short discussion of retroperitoneal appendix, the presentation of retroperitoneal appendicitis and its surgical management. Conclusion: Documented cases of retroperitoneal appendix are rare to the best of our knowledge and should be kept as a differential when a patient presents with atypical features of appendicitis.


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  1. Nesbit RR Jr, Fitz RH. (1843-1913): A bio-bibliography [BA thesis]. Cambridge, MA: Harvard College 1961;165
  2. Current problems in surgery: Appendicitis. Curr Prob Sug 2005;42:688-742
  3. Anatomic basis for delayed diagnosis of appendix. South Med J 1990;83:771-73
  4. Congenital absence of the cecal appendix. Case report. Cir Cir 2009 Sep- Oct;77(5):407-10
  5. The retroperitoneal appendix. Texas State JM 1928- 29;24:550-55
  6. The retroperitoneal (retrocolic) appendix. Ann Sug 1938 May;107(5):819-28
  7. Perforating inflammation of the vermiform appendix with special reference to its early diagnosis and treatment. Am J Med Sci 1886; 92:321-46
  8. Acute retroperitoneal appendicitis. South Med J 1925;18(5):364-67
  9. Estimated risks of radiation induced fatal cancer from pediatric CT. Am J Roentgenol 2001;176:289-96
  10. Diagnosis of acute appendicitis. Comparison of 5 to 10 mm CT sections in the same patient. Radiology 2000;216:172-77.
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