Algın Oktay, Özmen Evrim, Özcan Ayşenur Sirin, Erkekel Sehnaz, Karaoğlanoğlu Mustafa
Department of Radiology, Atatürk Training and Research Hospital, Bilkent, Ankara, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 Jan;19(1):80-2. doi: 10.5505/tjtes.2013.74508.
Subhepatic-retrocecal appendicitis is a rare entity in which the diagnosis is challenging. In patients presenting with right abdominal pain with atypical clinical, laboratory and ultrasound (US) findings, acute appendicitis should be eliminated with computed tomography (CT). Multi-detector CT (MDCT) can be used effectively for the diagnosis of retrocecal appendicitis without additional preparation or focused examination. Here, we present a patient with acute subhepatic-retrocecal appendicitis in whom the clinical and US findings mimicked acute cholecystitis. To the best of our knowledge, there is no previous report related to acute appendicitis presented only with pericholecystic fluid that could be diagnosed with MDCT. Retrocecal-subhepatic appendicitis is a rare condition that might present with atypical clinical, laboratory and radiological signs. US is usually insufficient for the definitive diagnosis. In this situation, MDCT could be a rapid and efficient tool for localizing the appendix and for the differential diagnosis.
肝下-盲肠后阑尾炎是一种罕见的疾病，其诊断具有挑战性。对于表现为右腹疼痛且临床、实验室及超声（US）检查结果不典型的患者，应通过计算机断层扫描（CT）排除急性阑尾炎。多排螺旋CT（MDCT）无需额外准备或进行针对性检查，可有效用于诊断盲肠后阑尾炎。在此，我们报告一例急性肝下-盲肠后阑尾炎患者，其临床及超声表现酷似急性胆囊炎。据我们所知，此前尚无仅表现为胆囊周围积液且可通过MDCT诊断的急性阑尾炎相关报告。盲肠后-肝下阑尾炎是一种罕见病症，可能表现出非典型的临床、实验室及放射学征象。超声通常不足以做出明确诊断。在这种情况下，MDCT可能是定位阑尾及进行鉴别诊断的快速有效工具。
