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Case Report
Recurrent inguinal abscess revealing chronic appendicitis: A case report and review of the literature
1 Resident, Radiology, Military Hospital, Rabat, Morocco
2 Professor, Radiology, Military Hospital, Rabat, Morocco
3 Professor and Department Chief, Radiology, Military Hospital, Rabat, Morocco
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Iraqi Fatima Zahra
Resident, Radiology, Military Hospital, Agdal, Rabat,
Morocco
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Article ID: 101269Z01IZ2021
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Fatima Zahra I, Kebir DM, Hassan N, Jamal EF. Recurrent inguinal abscess revealing chronic appendicitis: A case report and review of the literature. Int J Case Rep Images 2021;12:101269Z01IZ2021.ABSTRACT
Introduction: Chronic appendicitis is currently defined as a long standing inflammation of the appendix that presents clinically as prolonged (>48 hours) or intermittent abdominal pain. Its diagnosis is often only made after appendectomy and histological analysis of the appendix. This condition may lead to serious consequences as abscess formation.
Case Report: We report the case of a 64-year-old patient who had been operated for a recurrent right inguinal hernia on several occasions and had presented for two years an issue of purulent fluid through the open scar. An abdomino-pelvic computed tomography (CT) scan was requested to look for a potential digestive fistula. It showed a heterogeneous thickening of the hernia scar spread over 39 mm, poorly limited, containing calcification with infiltration of fat around. This infiltration was in contact with the distal end of the appendix which was thickened. We concluded to the diagnosis of chronic appendicitis.
Conclusion: Chronic appendicitis is a diagnosis characterized by long-standing lower quadrant pain that is associated with histopathologic chronic inflammatory changes. We must evoke this diagnosis in front of any recurrent inguinal abscess.
Keywords: Abscess, Chronic appendicitis, Inguinal hernia
SUPPORTING INFORMATION
Author Contributions
Iraqi Fatima Zahra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Daoud Ali Mohamed - Acquisition of data, Final approval of the version to be published
Nouali Hassan - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
El Fenni Jamal - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Iraqi Fatima Zahra et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
