title: Acute appendicitis post liver transplant: a case report and literature review.
abstract: Although acute appendicitis is common, reported cases after orthotopic liver transplant are rare. A 29-year-old woman presented to the emergency department with right lower-quadrant pain and mild leukocytosis 2 years after having a liver transplant. A computed tomography scan revealed an inflamed appendix. On operation, an injected appendix was noted, and she underwent an uncomplicated laparoscopic appendectomy. Histology confirmed the diagnosis and her postoperative course was unremarkable. Owing to the rarity of these cases and paucity of knowledge on management, a high index of suspicion and immediate intervention are required to prevent major complications. This case is the first successful laparoscopic appendectomy after liver transplant ever reported.
authors.affiliation: National Capital Consortium, National Naval Medical Center, Department of General Surgery, Bethesda, Maryland, USA. Benjamin.Quartey@med.navy.mil
authors.forename: Benjamin
authors.initials: B
authors.lastname: Quartey
authors.forename: James
authors.initials: J
authors.lastname: Dunne
authors.forename: Chad
authors.initials: C
authors.lastname: Cryer
mesh_terms: D000208:Acute Disease; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D016031:Liver Transplantation; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography