Lancaster-Jones WB, Robles PPJ, Arechiga OG

Language: Spanish
References: 15
Page: 79-82
PDF size: 239.67 Kb.

ABSTRACT

Objective: The propose of this study is to report a case of one patient who suffered chronic right lower quadrant abdominal pain diagnosed and treated via laparoscopic approach. Design: Description of one case. Setting: Third level health care hospital. Description of the case: A 43 year old female with a chief complaint of right lower quadrant abdominal pain, sudden onset 8 months prior to her admission to the hospital. The patient was seen by several physicians who performed routine blood profiles, as well as abdominal ultrasounds being diagnosed as colitis and treated accordingly. On Jan 24, 2000 the patient developed acute abdominal pain for which she was hospitalized; on admission to the hospital PE, was unremarkable, the only important finding was a positive Mc Burney’s sign, appendicecal ultrasound was normal. We then performed laparoscopy, finding edematous cecal appendix, laparoscopic appendectomy was carried out without any complications. The pathologist reports benign appendicecal mucocele. Her post op course was uneventful, she begun tolerating oral liquids well and was out of bed the same day; she was also given oral analgesic non-narcotics. The patient was discharged the next day after surgery. She was seen in my office on a monthly basis for routine follow-up and she was remained asymptomatic. Conclusion: We recommend laparoscopy as a very important part of the diagnostic armamentarium when diagnosis cannot be established by routine method’s for example; physical exam, laboratory test ultrasound etc.

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