Subhepatic Perforated Appendicitis Complicated by Intestinal Obstruction: A Case Report

• Published in: Journal 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
• Language: English
• Published: Gandhara University 31.03.2025
• Subjects: Exploratory Laparotomy; Intestinal obstruction; Perforated appendix; Subhepatic appendicitis
• DOI: 10.37762/jgmds.12-2.676
• ISSN: 2312-9433

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.