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Suggest Treatment For Acute Abdominal Pain

Posted on Tue, 15 Nov 2016

Question: I am an 18 year old male, recent eval for acute abd pain. (Abd pain migrated to RLQ, low fever, nausea x several hours). CT showed appendix with larger caliber toward tip, containing dense material; per radiologist "can not rule out early appendicitis". Had lap appy after surgical eval and later told by XXXXXXX attending the appendix "looked nasty" and "would've burst in 4 hours". Now recovered but have seen my pathology report which read "Normal Appendix". My question is, would appendicitis be expected to show up on histology? Or is this just done to rule out malignancy?

Answered by Dr. Rahul Tawde (1 hour later)

Brief Answer:
It may show.

Detailed Answer:
Hello Mr XXXX

Hope you are doing well post surgery. With regards to your question histopathology is usually done to rule out obstructive lesions in the appendix.

But at times severe inflammation also shows up in Histopathology .But definitely clinical judgement is the best.

Hope I answered your question

Regards and Best wishes
Dr Haleema

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Above answer was peer-reviewed by : Dr. REMY KOSHY