Subhepatic Perforated Appendicitis Complicated by Intestinal Obstruction: A Case Report

Subhepatic appendicitis is an anatomical variant of acute appendicitis that sometimes occurs secondary to midgut malrotation or developmental abnormalities during fetal development. It represents only 0.01% of cases of appendicitis and can be misdiagnosed for other intra-abdominal conditions like ac...

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Published inJournal of Gandhara medical and dental sciences Vol. 12; no. 2; pp. 82 - 85
Main Authors Ullah, Waseem, Muhammad, Faseeh, Daud, Muhammad, Atta, Aahan, Rehman, Muneeb Ur, Ahmad, Fazal, Khan, Bakir
Format Journal Article
LanguageEnglish
Published Gandhara University 31.03.2025
Subjects
Exploratory Laparotomy
Intestinal obstruction
Perforated appendix
Subhepatic appendicitis
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Summary:Subhepatic appendicitis is an anatomical variant of acute appendicitis that sometimes occurs secondary to midgut malrotation or developmental abnormalities during fetal development. It represents only 0.01% of cases of appendicitis and can be misdiagnosed for other intra-abdominal conditions like acute cholecystitis or liver abscesses, resulting in delayed diagnosis. This is a case of a 30-year-old patient with subhepatic perforated appendicitis complicated by intestinal obstruction. The patient was taken for emergency exploratory laparotomy after thorough investigations and clinical examination. Subhepatic appendicitis was found intraoperatively. Appendectomy was performed under aseptic techniques. Postoperatively, the patient was stable and tolerating oral fluids. This case highlights the role of imaging and early surgical approach in managing subhepatic appendicitis.
ISSN:2312-9433
2618-1452
DOI:10.37762/jgmds.12-2.676