Chronic appendicitis in an atrophic appendix: Case report

Chronic appendicitis is a rare entity characterized by pain in the right iliac Fossa during 2 years of evolution. Some surgeons and pathologists deny the existence of this disease; in contrast, there are studies of different authors that reported findings of chronic appendicitis. Male patient, 71 ye...

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Detalles Bibliográficos
Autores: Trujillo L., Yeray, Contreras C., Carlos, Cabanillas L., José
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Idioma:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/473
Acceso en línea:https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/473
Access Level:acceso abierto
Palabra clave:Apendicitis
Apéndice
Apendicectomía
Appendicitis
Appendix
Appendectomy
Descripción
Sumario:Chronic appendicitis is a rare entity characterized by pain in the right iliac Fossa during 2 years of evolution. Some surgeons and pathologists deny the existence of this disease; in contrast, there are studies of different authors that reported findings of chronic appendicitis. Male patient, 71 years- old, with pain in the right iliac Fossa of 2 weeks of evolution which remitted partially throughout his presentation, not associated with nausea, vomiting or anorexia. Physical examination revealed bounce in right iliac Fossa and blood count without Leukocytosis and forms segmented within normal parameters. History of 2 years of similar symptoms with resolution spontaneously. It was decided to carry out exploratory laparotomy; the operative finding was a cecal appendix of 1 cm of length with adherence of its distal part to the abdominal wall, exerting traction. Postoperatively the patient presented mild bloating and complete remission of pain. The pathological anatomy of the operative part was informed as cecal appendix 1 cm of length with chronic inflammation and fibrosis.