An unusual presentation of appendicitis: a 23 cm long appendix in Morocco

  • Hicham Laraqui Department of General Surgery, Military Hospital Rabat, Faculty of Medicine, Fes, Morocco
  • Mohamed Lamgari Department of General Surgery, Military Hospital, Faculty of Medicine, Mohamed V University, Rabat, Morocco
  • Mohamed Essarghini Department of General Surgery, Military Hospital, Faculty of Medicine, Mohamed V University, Rabat, Morocco
  • Aziz Zentar Department of General Surgery, Military Hospital, Faculty of Medicine, Mohamed V University, Rabat, Morocco
Keywords: Appendix; acute inflammation; long

Abstract

The appendix is a diverticulum attached to the caecum. It can have variable lengths and locations. Acute inflammation from long appendix is a diagnostic challenge with unusual signs and symptoms. A 35 years old man admitted to the emergency department for an acute abdominal pain with low-grade fever which had been present for 03 days. The abdomen Ultrasound showed minimal effusion in the right iliac fossa. He underwent an appendicectomy which revealed a very long appendix (23 cm in length) with tip reaching the sub hepatic area. The surgeon must kip in mind all anatomical variations of the appendix for making diagnosis and decisison to operate acute appendicitis because the increasing risk of morbidity.

Published
2019-02-12
Section
Articles

Journal Identifiers


eISSN: 1937-8688