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Synchronous presentation of acute cholecystitis and acute appendicitis successful treatment in one step laparoscopic procedure. A case series and literature review.
Nahidi, Seyed Mohammad; Khan, Khuram; Engler, Christopher; Tickoo, Sharang; Biggs, Carina.
Afiliação
  • Nahidi SM; St George's University, Grenada, West Indies, Grenada.
  • Khan K; Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, 11237, NY, USA. Electronic address: Khurram112@gmail.com.
  • Engler C; Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, 11237, NY, USA.
  • Tickoo S; St George's University, Grenada, West Indies, Grenada.
  • Biggs C; Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, 11237, NY, USA.
Int J Surg Case Rep ; 86: 106296, 2021 Sep.
Article em En | MEDLINE | ID: mdl-34450531
INTRODUCTION: Hundreds of thousands of cholecystectomies and appendectomies are performed in the United States annually. Due to the prevalence of cholecystitis and appendicitis, a subset of patients will require both operations. The limited literature describing these patients supports a laparoscopic approach over open surgery; consistent with the advantages of laparotomy over open surgery in the treatment of each condition individually. CASE PRESENTATION: We report two cases where a patient presented with cholecystitis and appendicitis simultaneously. An abdominal computer tomography (CT) scan revealed the presence of the two diagnoses, which was then confirmed by an abdominal ultrasound. A four-access port was utilized for simultaneous appendectomy and cholecystectomy. DISCUSSION: A review of the literature indicates that simultaneous infection with appendicitis and cholecystitis is rare, and thus clinical presentation, lab work, and imaging studies are all needed to support such a diagnosis. Potential findings on imaging in these patients may include distended gallbladder with thickened wall and fluid-filled dilated appendix with mural enhancement. In the event that both clinical presentation and further work-up indicate both pathologies, laparoscopic intervention is suitable. A four-access port is deemed the conservative approach to dealing with such cases. CONCLUSION: Finding a single diagnosis responsible for a patient's illness is a high priority in an acute care setting, a concept known as diagnostic parsimony. However, it is inevitable that very common illnesses will be comorbid in a subset of patients, and physicians should be prepared to consider contemporaneous illness in the isolated circumstances it is warranted.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Granada País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Granada País de publicação: Holanda