{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T17:00:11Z","timestamp":1764349211001,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T00:00:00Z","timestamp":1622419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T00:00:00Z","timestamp":1622419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5\u00a0days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8\u00a0days after his operation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02883-6","type":"journal-article","created":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T23:03:08Z","timestamp":1622415788000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Subhepatic appendix: an ectopic topography not to be disregarded: a case report"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9843-0225","authenticated-orcid":false,"given":"Abdoul Kadir","family":"Ibrahim Mamadou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souleymane","family":"Mounkaila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nouhou","family":"Hama Aghali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahaman Laouali","family":"Harouna Amadou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ousseini","family":"Adakal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,31]]},"reference":[{"issue":"2","key":"2883_CR1","first-page":"275","volume":"13","author":"PG Bonkoungou","year":"2012","unstructured":"Bonkoungou PG, Sanou A, Zida M, Ouangre E, Sano D, Traore SS. Les appendicites aigu\u00ebs chez les patients de plus de 50 ans au CHU Yalgado Ou\u00e9draogo. A propos de 47 cas. Rev CAMES-S\u00e9rie A. 2012;13(2):275\u20137.","journal-title":"Rev CAMES-S\u00e9rie A"},{"key":"2883_CR2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.11604\/pamj.2013.14.117.2169","volume":"14","author":"A Abdoulatif","year":"2013","unstructured":"Abdoulatif A, Bidamin N, Ahmed M, Mustapha M. Echographie et tomodensitom\u00e9trie dans les appendicites retro caecales. Pan Afr Med J. 2013;14:117. https:\/\/doi.org\/10.11604\/pamj.2013.14.117.2169.","journal-title":"Pan Afr Med J."},{"issue":"2","key":"2883_CR3","first-page":"63","volume":"7","author":"BJ Alegbeleye","year":"2019","unstructured":"Alegbeleye BJ. Current trends of acute appendicitis in Africa: a clinical review. Int J Healthc Sci. 2019;7(2):63\u201392.","journal-title":"Int J Healthc Sci"},{"issue":"4","key":"2883_CR4","first-page":"263","volume":"46","author":"M Al-Omran","year":"2003","unstructured":"Al-Omran M, Mamdani MM, McLeod RS. Epidemiologic features of acute appendicitis in Ontario, Canada. Can J Surg. 2003;46(4):263\u20138.","journal-title":"Can J Surg"},{"unstructured":"Alegbeleye BJ, Adisa AC, Keskin H. Epidemiologic features of acute appendicitis in a tropical African Population. Worldwide Med. 2019;1(6):202-211. http:\/\/www.theworldwidemedicine.com\/articles\/pdf\/Alegbeleye2019-1-6-Original%20article.pdf.","key":"2883_CR5"},{"unstructured":"Hornoy B, Char G, Marotel M, Lasry JL. Appendicite en position sous-h\u00e9patique. J Radiol. 1997;78(5):388-392. www.emconsulte.com\/showarticlefile\/122328\/index.pdf.","key":"2883_CR6"},{"issue":"3","key":"2883_CR7","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1097\/00063110-200309000-00008","volume":"10","author":"G G\u00fcrleyik","year":"2003","unstructured":"G\u00fcrleyik G, G\u00fcrleyik E. Age-related clinical features in older patients with acute appendicitis. Eur J Emerg Med. 2003;10(3):200\u20133.","journal-title":"Eur J Emerg Med."},{"issue":"4","key":"2883_CR8","first-page":"285","volume":"13","author":"N Pokharel","year":"2011","unstructured":"Pokharel N, Sapkota P, Kc B, Rimal S, Thapa S, Shakya R. Acute appendicitis in elderly patients\u202f: a challenge for surgeons. Nepal Med Coll J. 2011;13(4):285\u20138.","journal-title":"Nepal Med Coll J."},{"unstructured":"Mathias J, Bruot O, Ganne P-A, Laurent V, Regent D. Appendicite EMC (Elsevier Masson SAS, Paris), Radiodiagnostic- Appareil digestif, 33-472-G-10,2008. http:\/\/onclepaul.net\/wp-content\/uploads\/2011\/07\/appendicites-EMC-2008.pdf.","key":"2883_CR9"},{"issue":"5","key":"2883_CR10","first-page":"314","volume":"93","author":"Y Harouna","year":"2000","unstructured":"Harouna Y, Amadou S, Gazi M, Gamatie Y, Abdou I, Omar GS, Gueliena G, Saley YZ, Mounkaila H, Boureima M. Les appendicites au Niger: pronostic actuel. Bull Soc Pathol Exot. 2000;93(5):314\u20136.","journal-title":"Bull Soc Pathol Exot"},{"key":"2883_CR11","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1007\/s00268-009-0343-5","volume":"34","author":"KK Varadhan","year":"2010","unstructured":"Varadhan KK, Humes DJ, Neal KR, Lobo DN. Antibiotic therapy versus appendectomy for acute appendicitis: a meta-analysis. World J Surg. 2010;34:199\u2013209. https:\/\/doi.org\/10.1007\/s00268-009-0343-5.","journal-title":"World J Surg."},{"key":"2883_CR12","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1046\/j.1440-1622.2000.01905.x","volume":"70","author":"JF Lee","year":"2000","unstructured":"Lee JF, Leow CK, Lau WY. Appendicitis in the elderly Australian and New Zealand. Aust NZ J Surg. 2000;70:593\u20136. https:\/\/doi.org\/10.1046\/j.1440-1622.2000.01905.x.","journal-title":"Aust NZ J Surg."}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02883-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-02883-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02883-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T23:04:24Z","timestamp":1622415864000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02883-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,31]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2883"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02883-6","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2021,5,31]]},"assertion":[{"value":"25 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"288"}}