CASE 872-873 : REMOVED APPENDICITIS before 15 hours, Dr PHAN THANH HẢI, Dr NGUYỄN ĐỨC MINH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 Two cases of  acute appendicitis diagnosed by ultrasound at 12th and 14 th hour from onset.

CASE 1

A 37 year-old woman with epigastric pain from 2:00am and going to the umbilical region which was not released with Phosphalugel; then she went to Medic Center at 5:00am. WBC:15x10^9/L CRP:2.0mg/L

Ultrasound detected an #60x15 mm inflamed appendix  which appeared as finger sign, and uterine fibroma.

MSCT confirmed an acute appendicitis.

  

Endoscopic surgery was done at 13:00pm with a diagnostic of a congestion appendicitis.

CASE 2:

A 47 year-old man with a sudden epigastric pain at 9:00am. WBC 10.9x10^9/L,  CRP  4.91mg/L.

Endoscopy noted an acute gastritis.

But ultrasound detected an 62mm long acute appendicitis [thick wall:2.7mm].

He entered the hospital at 01:00 pm and the inflamed appendix removed by endoscopic surgEru at 5 :00 pm in the same day.