Appendicular mass complicating acute appendicitis in a patient with dengue fever
- Author:
Low Yen Nee
;
Brian Cheong Mun Keong
- Publication Type:Case Reports
- Keywords:
Dengue fever;
appendicular mass;
acute appendicitis
- MeSH:
Dengue
- From:
The Medical Journal of Malaysia
2016;71(2):83-84
- CountryMalaysia
- Language:English
-
Abstract:
Abdominal pain with dengue fever can be a diagnostic
challenge. Typically, pain is localised to the epigastric region
or associated with hepatomegaly. Patients can also present
with acute abdomen. We report a case of a girl with dengue
fever and right iliac fossa pain. The diagnosis of acute
appendicitis was made only after four days of admission. An
appendicular mass and a perforated appendix was noted
during appendectomy. The patient recovered subsequently.
Features suggestive of acute appendicitis are persistent
right iliac fossa pain, localised peritonism, persistent fever
and leucocytosis. Repeated clinical assessment is important
to avoid missing a concurrent diagnosis like acute
appendicitis.
- Full text:P020160628427195476664.pdf
