title: Unusual presentation of a familiar pathology: chronic appendicitis.
abstract: We present a case of a man who experienced night sweats, abdominal pain and fever for over 3 months, with incomplete response to broad-spectrum intravenous antibiotics. Although CT imaging was insufficient to identify the cause for his chronic abdominal pain, the abnormality of a 'misty mesentery' was crucial in guiding further investigation. The final diagnosis of chronic appendicitis was made through laparoscopic and pathological examination. This case highlights the utility of a collaborative diagnostic effort between disciplines. Chronic appendicitis can cause lingering abdominal pain. Early recognition and appropriate referral can save patients months and even years of unnecessary suffering.
authors: Women's & Children's Hospital, Adelaide, South Australia, Australia.
authors: Kyra
authors: K
authors: Sierakowski
authors: Flinders Medical Centre, Adelaide, South Australia, Australia.
authors: Andrew
authors: A
authors: Pattichis
authors: Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors: Patrick
authors: P
authors: Russell
authors: Flinders Medical Centre, Adelaide, South Australia, Australia Flinders University, Adelaide, South Australia, Australia.
authors: David
authors: D
authors: Wattchow
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D001064:Appendicitis / Q000150:complications* / Q000473:pathology; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012893:Sleep Wake Disorders / Q000209:etiology; D013546:Sweating