title: Concurrent presentation of appendicitis and acute cholecystitis: diagnosis of rare occurrence.
abstract: A 67-year-old woman presented with a 2-day history of central abdominal pain migrating to the right upper and lower abdomen. On examination she was normothermic but tachycardic. Inflammatory markers were noted to be elevated with a white cell count of 18.5×10(9)/L and C reactive protein of 265 mg/L. A CT scan revealed dual pathology of appendicitis and acute cholecystitis, which was confirmed intraoperatively and histologically.
authors.affiliation: Department of General Surgery and Gynaecology, Hutt Hospital, Lower Hutt, New Zealand.
authors.forename: Jamish
authors.initials: J
authors.lastname: Gandhi
authors.affiliation: Waikato Hospital, Hamilton, New Zealand.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Tan
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis; D015746:Abdominal Pain / Q000175:diagnosis; D000368:Aged; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D041881:Cholecystitis, Acute / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome