Neonatal appendicitis is a rare condition with high mortality rate. Signs and symptoms are often nonspecific, imaging modalities are not always diagnostic, and preoperative diagnosis is difficult with subsequent delay and complications. Its pathophysiology may be different from appendicitis in older children and comorbidities can be found. We report a case of a female neonate with Patau's syndr...

Laporoscopic appendectomy (LA) has advantages over open appendectomy (OA) in terms of shorter length of hospital stay, less superficial surgical site infection, and better cosmetics in patients with non-complicated appendicitis (NCA) (1, 2). However controversy still exists, particularly in complicated appendicitis (CA) which is described as a perforated appendix with or without abscess formati...

Appendix vermiformis duplex is an infrequent malformation. However if it is missed out, there might be some complications and medicolegal troubles. A surgeon must be aware of any other appendix during appendectomy. Therefore, the possible locations and shapes described in the Cave-Wallbridge classification should be considered by the surgeon. In this case report, we present a patient with a hor...

Neonatal appendicitis is a rare clinical condition that may cause high morbidity and mortality if diagnosis is delayed. There is usually an underlying disease; it can also be a localized form of necrotizing enterocolitis. Here, we present a term neonate who was treated with intravenous immunoglobulin because of severe isoimmune hemolytic jaundice. The patient developed abdominal symptoms within...

Primary torsion of the omentum majus is a rare cause of acute abdomen and it commonly mimics acute appendicitis. An eight year old boy was admitted to our clinic with symptoms and clinical findings of perforated appendicitis. The patient underwent emergency laparotomy at which a normal appendix and serosanguinous fluid in the peritoneal cavity were observed. The operative diagnosis was primary ...

Appendicitis caused by Mycobacterium tuberculosis is extremely rare and its presentation is atypical [1]. We describe a patient with peritoneal tuberculosis (TB) and perforated tuberculous appendicitis, who was investigated for vague abdominal distention and weight loss. The presentation of types of TB of the appendix and the role of cancer antigen-125 (CA-125) in the diagnosis and follow up of...

Background: Perforated appendix can be detected earlier by chemically with the aid of hyperbilirubinemia. It is a simple non-invasive modality that to detecting complicated appendicitis and avoid morbidity. Aim: To assess frequency hyperbilirubinemia in patients undergoing appendectomy due perforated appendicitis. Methods: A descriptive cross-sectional study was conducted which total 75 emergen...

The author presents a case with an unusual presentation of early appendicitis. The patient presented initially with left sided flank pain. Workup for nephrolithiasis, including non-contrast CT of the abdomen and pelvis was negative for renal stones or hydronephrosis. After discharge, the patient presented one week later in the ED with right lower quadrant pain. Contrast enhanced CT of the abdom...

Diverticulum of the caecum is a rare lesion. From a clinical point of view, the inflammation it causes can mimic symptoms of acute appendicitis, causing difficulties in diagnosis and thus prescription of appropriate treatment. It is almost impossible to differentiate this disease from acute appendicitis through physical examination alone, and radiological imaging may also prove insufficient. Fo...

We discuss the case of a 28-year-old male patient presenting to our department with an atypical history of acute scrotal swelling on a background of abdominal pain. He was diagnosed with a perforated appendicitis and Fournier's gangrene.