27 January 2011
Congenital absence of the appendix: A differential diagnosis in Right iliac fossa pain
Edward K. Yeboah, Luke L. AnthonyDOI: 10.12659/AJCR.881374
Am J Case Rep 2011; 12:12-13
Abstract
Abstract
Background: Congenital absence of the appendix is very rare and is seen in 1/100,000 laparotomies. It was first described in 1718 by Morgagni, and only about 100 cases have been reported since.
Case Report: A 50-year-old indigenous Australian woman presented with a two day history of vague abdominal pain, which then localised to the right iliac fossa. Clinical examination revealed right iliac fossa tenderness and rebound tenderness. Laboratory tests showed a raised C-reactive protein and normal white cell count. She underwent exploratory laparoscopy, laparotomy where the appendix was not found. She had a Computer Tomography scan of the abdomen and pelvis followed by a colonoscopy. The diagnosis of a congenitally absent appendix was made.
Conclusions: Surgeons must be aware of this condition also exists in the population. The diagnosis must be suspected together with other differential diagnoses when the appendix is not seen or there is no evidence of appendicitis on CT scan.
Keywords: Congenital Abnormalities, Appendix, surgery
In Press
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
13 Feb 2024 : Case report
Hemorrhagic Presentation in Primary Central Nervous System Lymphoma: A Case StudyAm J Case Rep In Press; DOI: 10.12659/AJCR.942951
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250