Subhepatic Perforated Appendicitis Complicated by Intestinal Obstruction: A Case Report

Authors

  • Waseem Ullah Lady Reading Hospital, Peshawar
  • Faseeh Muhammad Lady Reading Hospital, Peshawar
  • Muhammad Daud Lady Reading Hospital, Peshawar
  • Aahan Atta Lady Reading Hospital, Peshawar
  • Muneeb Ur Rehman Lady Reading Hospital, Peshawar
  • Fazal Ahmad Lady Reading Hospital, Peshawar
  • Bakir Khan Lady Reading Hospital, Peshawar

Keywords:

Subhepatic appendicitis, Perforated appendix, Intestinal obstruction, Exploratory Laparotomy

Abstract

Subhepatic appendicitis is an anatomical variant of acute appendicitis that sometimes occurs secondary to midgut malrotation or developmental abnormalities during fetal development. It represents only 0.01% of cases of appendicitis and can be misdiagnosed for other intra-abdominal conditions like acute cholecystitis or liver abscesses, resulting in delayed diagnosis. This is a case of a 30-year-old patient with subhepatic perforated appendicitis complicated by intestinal obstruction. The patient was taken for emergency exploratory laparotomy after thorough investigations and clinical examination. Subhepatic appendicitis was found intraoperatively. Appendectomy was performed under aseptic techniques. Postoperatively, the patient was stable and tolerating oral fluids. This case highlights the role of imaging and early surgical approach in managing subhepatic appendicitis.

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Author Biographies

Waseem Ullah, Lady Reading Hospital, Peshawar

Post graduate Resident, Department of General Surgery,
Lady Reading Hospital, Peshawar

Faseeh Muhammad, Lady Reading Hospital, Peshawar

Post graduate Resident,
Department of General Surgery, Lady Reading Hospital, Peshawar

Muhammad Daud, Lady Reading Hospital, Peshawar

Post graduate Resident, Department of General Surgery,
Lady Reading Hospital, Peshawar

Aahan Atta, Lady Reading Hospital, Peshawar

Post graduate Resident, Department of General Surgery,
Lady Reading Hospital, Peshawar

Muneeb Ur Rehman, Lady Reading Hospital, Peshawar

Post graduate Resident, Department of General Surgery,
Lady Reading Hospital, Peshawar

Fazal Ahmad , Lady Reading Hospital, Peshawar

Post graduate Resident, Department of General Surgery,
Lady Reading Hospital, Peshawar

Bakir Khan, Lady Reading Hospital, Peshawar

Post graduate Resident, Department of General Surgery,
Lady Reading Hospital, Peshawar

References

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Published

2025-03-31

How to Cite

Ullah, W., Muhammad, F. ., Daud, M. ., Atta, A. ., Rehman, M. U., Ahmad , F. ., & Khan, B. . (2025). Subhepatic Perforated Appendicitis Complicated by Intestinal Obstruction: A Case Report. Journal of Gandhara Medical and Dental Science, 12(2), 82–85. Retrieved from http://jgmds.org.pk/index.php/JGMDS/article/view/676