Chronic Appendicitis, the Lesser-Known Form of Appendiceal Inflammation: A Case Report

Cureus. 2021 Nov 18;13(11):e19718. doi: 10.7759/cureus.19718. eCollection 2021 Nov.

Abstract

Chronic appendicitis is a rare condition involving appendiceal inflammation as these conditions typically present acutely and are treated with appendectomy. However, in a small minority of patients, appendicitis can have a mild presentation and become recurrent or chronic appendicitis. Due to the acute nature and immediate treatment of patients presenting with typical symptoms of appendicitis, chronic appendicitis has been often overlooked and/or misdiagnosed. We present a case in which a 50-year-old male presented with right lower quadrant (RLQ) pain of one-month duration. Computed tomography (CT) imaging showed evidence of lymph node enlargement near the patient's appendix, raising suspicion of chronic appendicitis. The patient underwent a successful laparoscopic appendectomy.

Keywords: appendectomy; chronic abdominal pain; chronic appendicitis; recurrent appendicitis; right lower quadrant pain.

Publication types

  • Case Reports