LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN

Left-sided acute appendicitis is a diagnostic dilemma. Because the appendix is located in an abnormal position there are two different anatomic anomalies attributed to a left-sided appendix: situs inversus and malrotation of the midgut loop. In case of abnormal anatomical site of appendix as in situ...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Khalid Ibrahim Akhtar, Muhammad Adnan Akram
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	situs inversus malrotation of mid-gut left-sided acute appendicitis laparroscopy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3de695abba184a7eb42d98a8da067c20
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3de695abba184a7eb42d98a8da067c20
record_format	dspace
spelling	oai:doaj.org-article:3de695abba184a7eb42d98a8da067c202021-12-01T02:45:14ZLEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN0030-96482411-8842https://doaj.org/article/3de695abba184a7eb42d98a8da067c202018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2621/2131https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Left-sided acute appendicitis is a diagnostic dilemma. Because the appendix is located in an abnormal position there are two different anatomic anomalies attributed to a left-sided appendix: situs inversus and malrotation of the midgut loop. In case of abnormal anatomical site of appendix as in situs inversus or gut malrotation, atypical presentation begins with epigastric pain radiating to left lower quadrant of abdomen along with tenderness confusing with diverticulitis. There has been an increasing use of imaging modalities, such as USG and CT, in the diagnosis of acute appendicitis. Diagnostic laparoscopy is the gold standard in cases with complicated differential diagnosis. Clinical assessment/judgment has no match in diagnosis and avoiding serious complications. This is a case report of 25 years old young male who presented initially with pain epigastrium and vomiting with diagnosis of acute gastritis. Later on pain localized to lower abdomen more on left side than right lower side. It was initially treated conservatively, later on due to persistence of pain abdomen and increase in intensity clinical diagnosis of acute appendicitis was made and appendicectomy was planned via traditional incision. Per-operatively, left-sided acutely inflammed appendix along with caecum and ascending colon were found in left lower abdomen, operation was completed via lower midline abdominal incision. The main aim was to stress on clinical assessment/judgment where highly sophisticated diagnostic facilities are not available.Khalid Ibrahim AkhtarMuhammad Adnan AkramArmy Medical College Rawalpindiarticlesitus inversusmalrotation of mid-gutleft-sided acute appendicitislaparroscopyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1786-1790 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	situs inversus malrotation of mid-gut left-sided acute appendicitis laparroscopy Medicine R Medicine (General) R5-920
spellingShingle	situs inversus malrotation of mid-gut left-sided acute appendicitis laparroscopy Medicine R Medicine (General) R5-920 Khalid Ibrahim Akhtar Muhammad Adnan Akram LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN
description	Left-sided acute appendicitis is a diagnostic dilemma. Because the appendix is located in an abnormal position there are two different anatomic anomalies attributed to a left-sided appendix: situs inversus and malrotation of the midgut loop. In case of abnormal anatomical site of appendix as in situs inversus or gut malrotation, atypical presentation begins with epigastric pain radiating to left lower quadrant of abdomen along with tenderness confusing with diverticulitis. There has been an increasing use of imaging modalities, such as USG and CT, in the diagnosis of acute appendicitis. Diagnostic laparoscopy is the gold standard in cases with complicated differential diagnosis. Clinical assessment/judgment has no match in diagnosis and avoiding serious complications. This is a case report of 25 years old young male who presented initially with pain epigastrium and vomiting with diagnosis of acute gastritis. Later on pain localized to lower abdomen more on left side than right lower side. It was initially treated conservatively, later on due to persistence of pain abdomen and increase in intensity clinical diagnosis of acute appendicitis was made and appendicectomy was planned via traditional incision. Per-operatively, left-sided acutely inflammed appendix along with caecum and ascending colon were found in left lower abdomen, operation was completed via lower midline abdominal incision. The main aim was to stress on clinical assessment/judgment where highly sophisticated diagnostic facilities are not available.
format	article
author	Khalid Ibrahim Akhtar Muhammad Adnan Akram
author_facet	Khalid Ibrahim Akhtar Muhammad Adnan Akram
author_sort	Khalid Ibrahim Akhtar
title	LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN
title_short	LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN
title_full	LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN
title_fullStr	LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN
title_full_unstemmed	LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN
title_sort	left-sided acute appendicitis - a pitfall in the emergency departmen
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/3de695abba184a7eb42d98a8da067c20
work_keys_str_mv	AT khalidibrahimakhtar leftsidedacuteappendicitisapitfallintheemergencydepartmen AT muhammadadnanakram leftsidedacuteappendicitisapitfallintheemergencydepartmen
_version_	1718405897366011904

LEFT-SIDED ACUTE APPENDICITIS - A PITFALL IN THE EMERGENCY DEPARTMEN

Ejemplares similares