Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain

In the emergency department, patients frequently present with abdominal pain, with a variety of different causes ranging from intra-abdominal to extra-abdominal and retroperitoneal pathologies which can affect all age groups. Chronic appendicitis is a rare medical condition characterized by less sev...

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Main Authors: Iva Ljubas, Ivana Jurca, Dora Grgić
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2024/6032042
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author Iva Ljubas
Ivana Jurca
Dora Grgić
author_facet Iva Ljubas
Ivana Jurca
Dora Grgić
author_sort Iva Ljubas
collection DOAJ
description In the emergency department, patients frequently present with abdominal pain, with a variety of different causes ranging from intra-abdominal to extra-abdominal and retroperitoneal pathologies which can affect all age groups. Chronic appendicitis is a rare medical condition characterized by less severe and continuous abdominal pain and a clinical picture lasting longer than 1-2 days and extending over months, even years, and it is not always possible to consider it as a preliminary diagnosis. We represent a case report of chronic appendicitis where the patient’s clinical picture led the diagnostics and treatment in different directions and delayed the diagnosis. Namely, our patient was radiologically diagnosed with a collection of denser content retroperitoneally in the right lower quadrant of the abdomen, which in the first place was not related to possible appendicitis, regarding complaints. The existence of chronic appendicitis is a diagnosis unfamiliar to many clinicians and has no official diagnostic criteria. After diagnosis, treatment usually begins with antibiotics, and the next most common step is surgery. The optimal treatment for this condition is unknown. With this case report, we wish to draw attention to chronic appendicitis as a possible differential diagnosis in patients with chronic abdominal pain.
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spelling doaj-art-63884d52e08d49599d8e6119d0d778562025-02-03T01:29:50ZengWileyCase Reports in Surgery2090-69192024-01-01202410.1155/2024/6032042Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal PainIva Ljubas0Ivana Jurca1Dora Grgić2Department of Emergency MedicineDepartment of Interventional RadiologyDepartment of Gastroenterology and HepatologyIn the emergency department, patients frequently present with abdominal pain, with a variety of different causes ranging from intra-abdominal to extra-abdominal and retroperitoneal pathologies which can affect all age groups. Chronic appendicitis is a rare medical condition characterized by less severe and continuous abdominal pain and a clinical picture lasting longer than 1-2 days and extending over months, even years, and it is not always possible to consider it as a preliminary diagnosis. We represent a case report of chronic appendicitis where the patient’s clinical picture led the diagnostics and treatment in different directions and delayed the diagnosis. Namely, our patient was radiologically diagnosed with a collection of denser content retroperitoneally in the right lower quadrant of the abdomen, which in the first place was not related to possible appendicitis, regarding complaints. The existence of chronic appendicitis is a diagnosis unfamiliar to many clinicians and has no official diagnostic criteria. After diagnosis, treatment usually begins with antibiotics, and the next most common step is surgery. The optimal treatment for this condition is unknown. With this case report, we wish to draw attention to chronic appendicitis as a possible differential diagnosis in patients with chronic abdominal pain.http://dx.doi.org/10.1155/2024/6032042
spellingShingle Iva Ljubas
Ivana Jurca
Dora Grgić
Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain
Case Reports in Surgery
title Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain
title_full Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain
title_fullStr Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain
title_full_unstemmed Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain
title_short Chronic Appendicitis: Possible Differential Diagnosis in Patients with Chronic Abdominal Pain
title_sort chronic appendicitis possible differential diagnosis in patients with chronic abdominal pain
url http://dx.doi.org/10.1155/2024/6032042
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AT ivanajurca chronicappendicitispossibledifferentialdiagnosisinpatientswithchronicabdominalpain
AT doragrgic chronicappendicitispossibledifferentialdiagnosisinpatientswithchronicabdominalpain