Appendicite aiguë d'expression clinique gauche: apport diagnostique de la tomodensitométrie.
(1996) Archives de pédiatrie — Vol. 3, n° 1, p. 47-50 (1996)
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- Abstract
- BACKGROUND: Some cases of left-sided appendicitis related to malrotation or situs inversus have been reported. Another type of left-sided appendicitis is reported. CASE REPORT: A 9 year-old boy was admitted suffering from a 2-day history of severe left-sided abdominal pain of the lower quadrant with fever at 38 degrees C. He presented abdominal tenderness and guarding, maximal in the left lower quadrant. His leukocyte count was 22,000/mm3. Ultrasonography showed a digestive tubular structure with thick walls in the left lower quadrant. CT scan revealed a dilated right-sided appendix with localized perforation, whose extremity was located in the left lower quadrant along the lateral wall. The diagnosis was confirmed by median laparotomy. CONCLUSION: Left-sided appendicitis can also be related to a dilated right appendix with its extremity in the left lower-quadrant near the lateral wall. CT scan can then be helpful for diagnosis when ultrasonography remains unconclusive.
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Citations
Nisolle, J.-F., de Canière, L., Bahati, M., Michel, L., & Trigaux, J.-P. (1996). Appendicite aiguë d’expression clinique gauche: apport diagnostique de la tomodensitométrie. Archives de pédiatrie, 3(1), 47-50. https://doi.org/10.1016/S0929-693X(96)80009-1 (Original work published 1996)