6/29/2023 0 Comments Fibrous obliterationEach episode resolved spontaneously after 3–4 days with conservative measures. He underwent three CT scans without an identifiable source his blood work and urine studies were normal. He was seen in multiple emergency rooms, typically 24–48 h after each episode. The pain lasted for 6–12 h, sometimes associated with nausea and chills. The patient reported the pain to be intermittent, “7/10” in severity, sharp in nature, nonradiating, and located mainly in the right lower quadrant with no aggravating or relieving factors. We describe a 39-year-old man with a history of chronic right lower quadrant pain greater than 6 months duration who was found to have CA while undergoing a colonoscopy.Ī 39-year-old male patient with a history of quiescent proctitis presented with 6 months of intermittent sharp stabbing right lower quadrant pain. computed tomography (CT) scan is considered to be the best test for diagnosis of CA. Although not considered a surgical emergency, it is often a missed diagnosis with complications such as perforation or abscess formation. The incidence of CA is 1.5% of all cases with a history of acute appendicitis, and is thought to be secondary to partial and transient obstruction of the appendix. CA is a rare clinical entity that poses a diagnostic and therapeutic dilemma for clinicians since a majority of patients present with atypical symptoms. Several case reports and case series from the last two decades have provided supporting evidence that CA, although uncommon, does occur. The exact pathophysiology of acute appendicitis is well known, but the existence of chronic appendicitis (CA) appears to be controversial among many physicians.
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