Abdominal CT-aided diagnosis of acute appendicitis in the presence of mobile cecum: A case report

Yazawa, Kentaro; Azuma, Yuki; Kurokawa, Tomohiro; Yoshioka, Yuichiro; Tsurita, Giichiro; Shinozaki, Masaru

doi:10.1016/j.ijscr.2017.12.035

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…Although volvulus is most commonly related to the anatomic variation of the gut at birth, there are other conditions that can lead to volvulus such as adhesions from prior surgeries, severe jumping that causes change in the colon position, chronic constipation leading to stagnation of the colon, extreme high fibre diet, or rarely underlying psychiatric illness [ 4 , 6 , 8 ]. Mobile cecum is evident in 10–20% of the population with several cases of concurrent cecal volvulus and appendicitis [ 3 , 4 ]. This may be overlooked as the presentation mimics other gastrointestinal diseases as noted in our patient with an initial diagnosis of irritable bowel syndrome [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…A wide spectrum of clinical presentations related to this disease include nausea, vomiting, abdominal pain, distension, and constipation based on the intestinal viability and severity [ 1 ]. Mobile cecum is a rare congenital anomaly due to loss of the fixation of the cecum and ascending colon to the peritoneum during embryogenesis [ 3 ]. Diagnosing volvulus preoperatively is very difficult and rare, especially in the presence of a mobile cecum as it mimics acute appendicitis on presentation [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Mobile cecum is a rare congenital anomaly due to loss of the fixation of the cecum and ascending colon to the peritoneum during embryogenesis [ 3 ]. Diagnosing volvulus preoperatively is very difficult and rare, especially in the presence of a mobile cecum as it mimics acute appendicitis on presentation [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Abdominal pain – a common presentation with unusual diagnosis: a case report

Kumaran¹,

Vanka²,

Rab³

et al. 2020

Journal of Community Hospital Internal Medicine Perspectives

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Acute abdominal pain is a frequent cause for evaluation in the clinic and emergency room. A number of causes of abdominal pain are diagnosed easily based on the history, physical exam, and some laboratory findings. However, unusual conditions may pose a challenge and require invasive procedures for diagnosis. Rare anomalies such as mobile caecum may present as either typical or atypical acute appendicitis. Endometriosis and pinworm infections can also present as acute appendicitis but are uncommon presentations. To increase the awareness of these uncommon causes of appendicitis, we present a 32 year old female who was previously diagnosed with irritable bowel syndrome later found to have all of the above mentioned rare conditions contributing to abdominal pain. She presented to the emergency room with a one day history of acute right lower quadrant abdominal pain along with nausea and non-bilious vomiting. Physical exam revealed right lower quadrant tenderness to palpation. A computerised tomography of the abdomen and pelvis demonstrated a mobile cecum in the left abdomen. She subsequently underwent a diagnostic laparotomy with cecopexy and appendectomy. Pathology of the appendix showed findings suggestive of endometriosis and intraluminal enterobius vermicularis. She was treated with two doses of pyrantel pamoate for the parasitic infection, and subsequently had resolution of her symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Abdominal pain – a common presentation with unusual diagnosis: a case report

Kumaran¹,

Vanka²,

Rab³

et al. 2020

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

show abstract

“… 1 , 3 , 4 There are a few case reports of CT scan findings demonstrating a perforated appendix in association with caecal redundancy. 2 , 5 …”

Section: Introductionmentioning

confidence: 99%

Maximum intensity projection aids in diagnosing acute appendicitis and mobile caecum: A case report and literature review

Namugenyi

Oompie

Kabambi

2021

South African Journal of Radiology

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Appendicitis is a common childhood condition requiring surgical intervention and delayed diagnosis can have serious consequences. This report describes the case of a child who presented with an acute abdomen and intestinal obstruction. Multidetector (MD) CT demonstrated a left-sided caecum and an inflamed appendix with a faecolith. Maximum intensity projection (MIP) post-processing was key in identifying the appendicular artery and determine the diagnosis. At surgery, however, a mobile caecum and the appendix were positioned on the right side.

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“…1 Acute appendicitis in the presence of a mobile caecum may present with atypical abdominal findings which can cause a diagnostic dilemma and delay in appropriate treatment which can lead to complicated appendicitis. 2 Abdominopelvic computed tomography (CT) examination can be helpful in establishing the diagnosis in atypical presentation of acute appendicitis with mobile caecum. The management of such cases may warrant laparoscopic appendectomy which can be diagnostic as well as therapeutic.…”

Section: Introductionmentioning

confidence: 99%

Acute appendicitis in mobile ceacum: a diagnostic dilemma: a case report

et al. 2020

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Acute appendicitis is usually diagnosed on the basis of clinical history, physical examination and results of laboratory tests. The position of the appendix can vary considerably, both in relation to the caecum and because of the inconsistent position of the caecum itself. Acute appendicitis in a mobile caecum can pose a diagnostic dilemma which can lead to delay in appropriate treatment. In this case report, we present a 21 year old male with acute appendicitis and surgically proven to be acute appendicitis in a mobile caecum.

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Abdominal CT-aided diagnosis of acute appendicitis in the presence of mobile cecum: A case report

Cited by 4 publications

References 6 publications

Abdominal pain – a common presentation with unusual diagnosis: a case report

Abdominal pain – a common presentation with unusual diagnosis: a case report

Maximum intensity projection aids in diagnosing acute appendicitis and mobile caecum: A case report and literature review

Acute appendicitis in mobile ceacum: a diagnostic dilemma: a case report

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