Year 2024 / Volume 116 / Number 10
Letter
A ghost epigastric pain

568-569

DOI: 10.17235/reed.2024.10500/2024

De-Feng Li, Yan-Hui Tian, Rui-Yue Shi, Chen Kong, Jing Zhou, Li-Sheng Wang, Yao Jun,

Abstract
A 16-year-old woman complained of intermittent epigastric pain for one year. The gastroscopy, colonoscopy and laboratory findings were normal. Physical examination was unremarkable other than upper abdominal tenderness. The symptom was not relieved in past medical treatment. The abdominal computed tomography (CT) scan revealed appendix wall swelling and suspected appendicitis. Endoscopic retrograde appendicitis therapy (ERAT) with eyeMax (Micro-tech, China) was proposed to perform after informed consent obtained. A colonoscopy with a transparent cap (Olympus, Japan) attached to the tip was inserted into the cecum, and advanced the level of appendicular orifice. Subsequently, the Gerlach’s valve was pushed aside using the transparent cap. Finally, the eyeMax was placed in the appendicular orifice, slowly moved forward in appendicular lumen. The eyeMax showed a lot of appendicular stones, and irrigated repeatedly. The stones were expulsed smoothly. The patient was discharged two days later without recurrent epigastric pain on follow-up and to date.
Share Button
New comment
Comments
No comments for this article
References
1. Schmidbaur S, Wannhoff A, Walter B, Meier B, Schafer C, Meining A, et al. Risk of appendicitis after endoscopic full-thickness resection of lesions involving the appendiceal orifice: a retrospective analysis. Endoscopy 2021, 53(4): 424-428.
2. Yasin AL, Sh'aban AHM, Yousaf A, Toffaha A, Jaleel ZT. Acute Appendicitis Presenting As Epigastric Pain Due to Incomplete Intestinal Malrotation. Cureus 2021, 13(5): e15088.
3. Beckermann J, Linnaus ME, Swartz H, Stewart S, York J, Gassner RR, et al. Optimizing antibiotic management for patients with acute appendicitis: A quality improvement study. Surgery 2024, 175(5): 1352-1357.
4. Rodriguez Lucas JM, Fernandez Lopez AJ, Gonzalez Valverde FM, Tamayo Rodriguez ME, Albarracin Marin-Blazquez A. Uncommon causes of acute appendicitis: foreign bodies in the cecal appendix. Rev Esp Enferm Dig 2022, 114(6): 361-362.
5. Yang B, Kong L, Ullah S, Zhao L, Liu D, Li D, et al. Endoscopic retrograde appendicitis therapy versus laparoscopic appendectomy for uncomplicated acute appendicitis. Endoscopy 2022, 54(8): 747-754.
6. Luo Q, Zeng S, Jiang M, Zhang Q, Cheng C. Funnel-hood-assisted endoscopic retrograde appendicitis therapy for acute appendicitis. Endoscopy 2024, 56(S 01): E142-E143.
Related articles

Letter

Pseudo-submucosal tumor in the colon: seeing is believing

DOI: 10.17235/reed.2023.9773/2023

Letter

Schwannoma of the ileocecum accompanied by acute appendicitis

DOI: 10.17235/reed.2022.9053/2022

Letter to the Editor

Acute appendicitis after a colonic endoscopic submucosal resection

DOI: 10.17235/reed.2018.5307/2017

Letter to the Editor

Surgical management of appendiceal adenocarcinoid. Case report and literature review

DOI: 10.17235/reed.2016.4049/2015

Case Report

Appendicular bleeding: an excepcional cause of lower hemorrhage

DOI: 10.17235/reed.2015.3828/2015

Letter to the Editor

Unusual course of epiploic appendicitis

DOI: 10.17235/reed.2015.3796/2015

Citation tools
Li D, Tian Y, Shi R, Kong C, Zhou J, Wang L, et all. A ghost epigastric pain. 10500/2024


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 266 visits.
This article has been downloaded 26 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 21/04/2024

Accepted: 25/04/2024

Online First: 20/05/2024

Published: 09/10/2024

Article Online First time: 29 days

Article editing time: 171 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology