An Uncommon and a Rare Presentation of Acute Appendicitis with Calculus Cholecystitis in a 12-Year-Old Girl: A Case Report

Abstract

Acute appendicitis is very common general surgical emergency in teenagers while cholecystitis is common in middle-aged females but cholecystitis at the age of twelve year is very rare and along with acute appendicitis is even rarer. We describe a case of 12-year-old female who came to the outpa- tient department of Abbasi Shaheed Hospital with the complain of on and off pain in the right iliac fossa for the last one year. Abdominal examination was positive for rebound tenderness in right iliac fossa at the McBurney's point. Computed Tomography scan of whole abdomen showed gallstones with normal looking appendix. Impression of acute calculus cholecystitis with recurrent acute appen- dicitis was made. Laparoscopy along with laparoscopic cholecystectomy was planned. On Laparoscopy appendix was found to be inflamed so laparoscopic cholecystectomy along with laparoscopic appendectomy was done via the same ports. Acute appendicitis along with cholecystitis due to cholelithiasis is very uncommon and very few cases have been reported in literature.