Nadir Bir Sağ Üst Kadran Ağrısı Nedeni: Subhepatik Akut Apandisit

Year 2022, , 200 - 202, 30.12.2022

Murat Kartal , Tolga Kalaycı

https://doi.org/10.54996/anatolianjem.1067945

Abstract

Amaç: Apendiks vermiformis çekumun posteromedial yüzünden köken alan ve en sık retroçekal alanda lokalize körelmiş bir organdır. Bu olgu sunumunda subhepatik akut apandisit tanısı ile apendektomi yapılan hastayı sunmayı amaçladık.

Olgu: 24 yaşında kadın hasta üç gündür devam eden ve giderek artan sağ üst kadran ağrısı nedeniyle başvurdu. Muayenede sağ üst kadran hassasiyet ve defans mevcuttu. Lökositoz ve C-reaktif protein yüksekliği olan hastanın tomografisinde subhepatik alana uzanan akut apandisit tespit edildi. Laparoskopik apendektomi yapılan hastanın patolojisi flegmonöz akut apandisit ile uyumlu idi.

Sonuç: Subhepatik akut apandisit çok nadir görülen bir klinik tablodur. Olası tanı gecikmelerinin ve komplikasyon gelişiminin önlenmesi için, sağ üst kadran ağrısı olan hastalarda subhepatik akut apandisitten şüphelenilmeli ve abdominopelvik bilgisayarlı tomografiden yararlanılıp zamanında tanı ve tedavi yapılmalıdır.

Keywords

Apandisit, sağ üst kadran, subhepatik

A Rare Cause of Right Upper Quadrant Pain: Subhepatic Acute Appendicitis

Abstract

Aim: The vermiform appendix is a vestigial organ originating from the posteromedial side of the caecum and most commonly localized in the retrocaecal area. In this case report, we aimed to present the patient diagnosed with subhepatic acute appendicitis and who underwent appendectomy.

Case: A 24-year-old female was admitted with increasing right upper quadrant pain lasting for three days. On examination, there was right upper quadrant tenderness and defense. The patient's computed tomography detected acute appendicitis extending to the subhepatic area with leucocytosis and elevated C-reactive protein. The pathology of the patient who underwent laparoscopic appendectomy was compatible with phlegmonous acute appendicitis.

Conclusion: Subhepatic acute appendicitis is a very rare clinical picture. To prevent possible delays in diagnosis and development of complications, subhepatic acute appendicitis should be suspected in patients with right upper quadrant pain, and timely diagnosis and treatment should be made using abdominopelvic computed tomography.

Keywords

Appendicitis, right upper quadrant, subhepatic

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