مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Cites:

1

Information Journal Paper

Title

AN ATYPICAL PRESENTATION OF ACUTE APPENDICITIS: A 77 YEARS OLD MAN WITH LEFT LOWER QUADRANT PAIN (CASE REPORT)

Pages

  72-75

Abstract

 With an occurrence of 7%, APPENDICITIS is one of the most common abdominal emergencies requiring surgery. Since the variation in positions and length of the appendix may produce varying symptoms and signs which mimic other diseases, having knowledge of the variations in the position of the appendix is of significant importance.Here, we present a 77-year-old man with acute APPENDICITIS presenting with lower abdominal pain, fever, chills, and dysuria.Physical examination revealed tenderness and rebound tenderness in the left lower quadrant more pronounced in the right lower quadrant with leukocytosis on blood tests. Both ultrasonography and abdominopelvic computed tomography scan demonstrated a severe inflammation at paracecal mesenteric fat with extension to para sigmoid portion which was in favor of diverticulitis rather than APPENDICITIS. A 2-week treatment with intravenous antibiotic regimen was initiated for the patient and from the second day of antibiotic therapy, the patient’s fever and abdominal pain improved. A second CTscan performed three weeks after completion of a 14-day course of antibiotics, revealed a dilated long appendix (diameter: 12mm, length: 10 cm) with extension of its tip to the medial wall of sigmoid. Physicians should consider APPENDICITIS when evaluating an acute abdomen to prevent any delay in DIAGNOSIS of ATYPICAL presentations and decrease the mortality and morbidity related to the complications.

Cites

References

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    • Cite

    APA: Copy

    AJDARKOSH, HOSSEIN, JAVID ANBARDAN, SANAM, AZIZI, ZAHRA, & EBRAHIMI DARYANI, NASSER. (2016). AN ATYPICAL PRESENTATION OF ACUTE APPENDICITIS: A 77 YEARS OLD MAN WITH LEFT LOWER QUADRANT PAIN (CASE REPORT). GOVARESH JOURNAL, 21(1), 72-75. SID. https://sid.ir/paper/685285/en

    Vancouver: Copy

    AJDARKOSH HOSSEIN, JAVID ANBARDAN SANAM, AZIZI ZAHRA, EBRAHIMI DARYANI NASSER. AN ATYPICAL PRESENTATION OF ACUTE APPENDICITIS: A 77 YEARS OLD MAN WITH LEFT LOWER QUADRANT PAIN (CASE REPORT). GOVARESH JOURNAL[Internet]. 2016;21(1):72-75. Available from: https://sid.ir/paper/685285/en

    IEEE: Copy

    HOSSEIN AJDARKOSH, SANAM JAVID ANBARDAN, ZAHRA AZIZI, and NASSER EBRAHIMI DARYANI, “AN ATYPICAL PRESENTATION OF ACUTE APPENDICITIS: A 77 YEARS OLD MAN WITH LEFT LOWER QUADRANT PAIN (CASE REPORT),” GOVARESH JOURNAL, vol. 21, no. 1, pp. 72–75, 2016, [Online]. Available: https://sid.ir/paper/685285/en

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