title: Sessile ileum, subhepatic cecum, and uncinate appendix that might lead to a diagnostic dilemma.
abstract: The subhepatic position of the cecum and appendix is a result of embryological reasons. Subhepatic appendicitis can cause diagnostic dilemmas. During the dissection of an adult male cadaver aged approximately 70 years, the subhepatic position of the cecum and appendix was noted. The appendix made a "U"-shaped bend and its tip was located in the paracolic position. The cecum had appendices epiploicae, and the terminal part of the ileum was retroperitoneal and had ascended vertically to the cecum from the right iliac fossa. Functionally, the sessile part of the ileum might restrict its peristaltic movements. The abnormal position of the terminal ileum might be mistaken for an ascending colon during laparoscopic surgery. The subhepatic position of the cecum and appendix might cause confusion in the diagnosis of acute appendicitis because the tenderness in such cases is not located at the McBurney's point.
authors.affiliation: Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Karnataka, India.
authors.forename: Satheesha B
authors.initials: SB
authors.lastname: Nayak
authors.affiliation: Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Karnataka, India.
authors.forename: Bincy Muthukattu
authors.initials: BM
authors.lastname: George
authors.affiliation: Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Karnataka, India.
authors.forename: Snigdha
authors.initials: S
authors.lastname: Mishra
authors.affiliation: Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Karnataka, India.
authors.forename: Sudarshan
authors.initials: S
authors.lastname: Surendran
authors.affiliation: Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Karnataka, India.
authors.forename: Prakashchandra
authors.initials: P
authors.lastname: Shetty
authors.affiliation: Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Karnataka, India.
authors.forename: Surekha Devadasa
authors.initials: SD
authors.lastname: Shetty
keywords: Appendicitis; Appendix; Cecum; Ileum; Subhepatic