CASE 389: ECTOPIC APPENDICITIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 35yo, onset  epigastric pain  treated  as gastritis for one week, fever.

Ultrasound of   abdomen= pain  at  upper  left  abdomen quadrant (US 1  probe put over  pain point).

US  2= mass  rounding as  an abscess, CDI: no  more vascular  supply.

US 3 (with linear probe)  intra abscess the linear structure  look like  appendix).

US 4 =  cross section.

Emergency CT with CE=   mass  wall-off  by  small intestine and  great omentum  as an abscess  ( CT1, CT2).

Blood test  WBS = high 14k , with neutro 9.9,  CRP  38.3ng/dl.

Preoperative diagnostic is  intra abdomen abscess  due to ectopic appendicitis.

Laparoscopic view = the pus goes out  from this mass  and open operation removed appendiceal partial necrosis and  mobile coecum.

Conclusion=  appendiceal abscess in ectopic position at left abdomen site.