Chronic appendicitis: two case reports.

J Med Case Rep

Department of Infectious Diseases, Copenhagen University Hospital Hvidovre, Kettegaard Allé 30, 2650, Hvidovre, Denmark.

Published: February 2022

Background: Chronic appendicitis is a condition unfamiliar to many physicians and is often referred to as a controversial diagnosis. This can give rise to diagnostic delay.

Case Presentation: We present two cases of chronic appendicitis: a Caucasian female aged 21 years and a Caucasian male aged 34 years. The patients had different clinical presentations, which led the initial investigations in very different directions-tropical infectious disease and possible malignancy, respectively. In both cases, radiological imaging was the key investigation leading to the final surprising diagnosis.

Conclusion: With these two case stories, we wish to draw attention to chronic appendicitis as a possible differential diagnosis in younger patients with chronic or recurrent abdominal pain, particularly if the pain is located in the lower abdomen and is accompanied by fever.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827293PMC
http://dx.doi.org/10.1186/s13256-022-03273-2DOI Listing

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