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Subhepatic Appendicitis

AMA Arch Surg. 1955;71(2):265-267. doi:10.1001/archsurg.1955.01270140113021.
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Complete nondescent of the cecum and appendix with its characteristic anatomical variance is significant as the source of appendicitis which occasionally occurs in the upper right abdomen.

INCIDENCE  Strangely, literature dealing with subhepatic cecum, with or without appendicitis, is comparatively scarce.Lockwood,11 in 1892, reported one case studied at autopsy and referred to another of Professor Turner in 1863. Treves,16 in 1885, listed two cases studied at autopsy, and later Robinson * reported 2 cases in the study of 130 necropsies. Smith,15 in 1911, reporting autopsy studies on infants, most of whom were under 3 months of age, stated that nondescent of the cecum occurred in 6% of 1050 cases.Surgeons have described occasional cases discovered at operation.† Jonas, reporting 11 cases in which he was able to demonstrate arrest in development of the intestinal tract, described three in which the appendix was found in the gall-bladder region


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