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


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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


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