A case report of retrocaecal acute appendicitis with ureteral involvement due to inflammation.

Abstract

Acute appendicitis is a frequent cause of acute abdomen in general surgery (1). The most important factor is the lumen obstruction while the most frequent reason of such an obstruction is faeces ( 2). As the distal end of appendix is free, different localizations may cause difficulties during diagnosis and surgery. Especially, appendicitis cases with retrocaecal extension cause challenges in diagnosis and treatment for surgeons. A 20 years old male patient applied to the emergency service with an abdominal pain starting a day before. His examination revealed tenderness, defense and rebound in right lower quadrant and suprapubic region. Other system examinations were normal. The medical history of the patient did not include any significant prior illness. White blood cell count was 17.200 mm3, CRP was 0.43 mg/dl (0-1) and full urine analysis was 173 bacteria (0-60). In radiological examinations, the patient’s standing direct abdominal graph revealed no abnormality.