title: [Intrathoracic acute appendicitis. A case report].
abstract: Intrathoracic appendicitis is an uncommon diagnosis. We report the case of a 6-year-old boy with elevated CRP and no fever, who complained of nonspecific abdominal pain. A diaphragmatic hernia was suspected on a chest X-ray and confirmed by an ultrasound examination. A multidetector CT scan revealed intrathoracic acute appendicitis associated with a right posterolateral Bochdalek hernia. Abdominal diseases associated with late-presenting congenital diaphragmatic hernia are often manifested by an atypical clinical presentation, which can be a source of delay or error in diagnosis. We recommend radiological exploration in the case of diaphragmatic hernia, even with subtle clinical findings in the search of associated gastrointestinal complications.
authors.affiliation: Service d'imagerie médicale, Hôtel-Dieu de France, boulevard Alfred-Nacchache, Achrafieh, Beyrouth, Liban. reinefahed@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Fahed
authors.forename: L
authors.initials: L
authors.lastname: Menassa-Moussa
authors.forename: C
authors.initials: C
authors.lastname: Sader-Ghorra
authors.forename: S
authors.initials: S
authors.lastname: Haddad-Zebouni
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D002097:C-Reactive Protein / Q000032:analysis; D002648:Child; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography
chemical_list: D002097:C-Reactive Protein