A very rare case of a subhepatic appendix of 20cm length in a girl

Hind Cherrabi, Mohamed Amine Oukhouya

PAMJ. 2023; 44:12. Published 06 Jan 2023 | doi:10.11604/pamj.2023.44.12.38645

A 6-year-old girl was consulted for an appendicular syndrome that had been evolving for 3 days. The clinical examination revealed a febrile child with a temperature of 39°C and a tacchycardia. Abdominal examination revealed right hypochondrium defense and deep tenderness of the right flank and right iliac fossa. The biological work-up showed a predominantly neutrophilic hyperleukocytosis. Abdominal ultrasound revealed a subhepatic appendix 9 mm in diameter associated with a well-limited hypoechoic collection in the right hypochondrium 4 cm in length with no obvious stercolith. Surgical exploration revealed a sub-hepatic and subserosal appendix of 20 cm in length, which is a very rare anatomical variant and underlines the need to verify the convergence of the 3 caecal bands to determine the exact site of the appendicular base. The risk is to leave an appendicular stump in place.
Corresponding author
Hind Cherrabi, Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, Morocco (h.cherrabi@uiz.ac.ma)

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, ESCI

Physical address: Kenya: 3rd Floor, Park Suite Building, Parkland Road, Nairobi. PoBox 38583-00100, tel: +254 (0)20-520-4356 | Cameroon: Immeuble TechnoPark Essos, Yaounde, PoBox: 10020 Yaounde, tel: +237 (0)24-309-5880