Sessile ileum, subhepatic cecum, and uncinate appendix that might lead to a diagnostic dilemma

Nayak, Satheesha B and George, Bincy M and Mishra, Snigdha and Surendran, Sudarshan and Shetty, Prakashchandra and Shetty, Surekha D (2013) Sessile ileum, subhepatic cecum, and uncinate appendix that might lead to a diagnostic dilemma. Anatomy & Cell Biology, 46. pp. 1-3. ISSN 2093-3665

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Abstract

The subhepatic position of the cecum and appendix is a result of embryological reasons. Subhepatic appendicitis can cause diagnostic dilemmas. During the dissection of an adult male cadaver aged approximately 70 years, the subhepatic position of the cecum and appendix was noted. The appendix made a “U”-shaped bend and its tip was located in the paracolic position. The cecum had appendices epiploicae, and the terminal part of the ileum was retroperitoneal and had ascended vertically to the cecum from the right iliac fossa. Functionally, the sessile part of the ileum might restrict its peristaltic movements. The abnormal position of the terminal ileum might be mistaken for an ascending colon during laparoscopic surgery. The subhepatic position of the cecum and appendix might cause confusion in the diagnosis of acute appendicitis because the tenderness in such cases is not located at the McBurney’s point.

Item Type: Article
Uncontrolled Keywords: Cecum; appendix; subhepatic; appendicitis; ileum.
Subjects: Medicine > KMC Manipal > Anatomy
Medicine > MMMC Manipal > Anatomy
Depositing User: KMC Manipal
Date Deposited: 05 Jan 2015 04:33
Last Modified: 05 Jan 2015 04:33
URI: http://eprints.manipal.edu/id/eprint/141446

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