Subhepatically located appendicitis due to adhesions: a case report.
BACKGROUND
Acute appendicitis occurs frequently and is a major indication for acute abdominal surgery. Subhepatic appendicitis has rarely been reported and is more difficult to diagnose.


METHODS
A 71-year-old man with multiple medical comorbidities presented with undifferentiated right abdominal pain. Diagnostic difficulty was encountered due to subhepatic mal-location of the appendix and subsequently atypical presentation for acute appendicitis.


CONCLUSIONS
Subhepatic anatomical location of the appendix makes it more difficult to diagnose acute appendicitis at any age, including in older adults.
Ting
Joseph Y S
JY
Department of Emergency Medicine, Mater Adult Hospital, Raymond Tce, Australia. Joseph.Ting@mater.org.au
Farley
Rebecca
R