Abstract
A 6-year-old girl was consulted for an appendicular syndrome that had been evolving for 3 days. The clinical examination revealed a febrile child with a temperature of 39°C and a tacchycardia. Abdominal examination revealed right hypochondrium defense and deep tenderness of the right flank and right iliac fossa. The biological work-up showed a predominantly neutrophilic hyperleukocytosis. Abdominal ultrasound revealed a subhepatic appendix 9 mm in diameter associated with a well-limited hypoechoic collection in the right hypochondrium 4 cm in length with no obvious stercolith. Surgical exploration revealed a sub-hepatic and subserosal appendix of 20 cm in length, which is a very rare anatomical variant and underlines the need to verify the convergence of the 3 caecal bands to determine the exact site of the appendicular base. The risk is to leave an appendicular stump in place.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
