Abdoul Kadir Ibrahim Mamadou1, Souleymane Mounkaila2, Nouhou Hama Aghali3, Mahaman Laouali Harouna Amadou4, Ousseini Adakal5. 1. Department of Medicine and Medical Specialties, Regional Hospital Center of Tahoua, Tahoua, Niger. kader.ibrahim@yahoo.fr. 2. Department of Surgery and Surgical Specialties, Regional Hospital Center of Tahoua, Tahoua, Niger. 3. Department of Biology, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger. 4. Department of Infectiology, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger. 5. Department of Surgery, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger.
Abstract
INTRODUCTION: Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis. CASE PRESENTATION: We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation. CONCLUSION: Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.
INTRODUCTION: Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis. CASE PRESENTATION: We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation. CONCLUSION:Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.
Entities:
Keywords:
Case report; Embryogenesis; Peritonitis; Subhepatic appendix
Authors: Y Harouna; S Amadou; M Gazi; Y Gamatie; I Abdou; G S Omar; G Gueliena; Y Z Saley; H Mounkaila; M Boureima Journal: Bull Soc Pathol Exot Date: 2000-01