Spirochetosis Mimicking Acute Appendicitis: Clinical Report and Review of the Literature

Spirochetosis Mimicking Acute Appendicitis: Clinical Report and Review of the Literature

Blog Article

Introduction: Intestinal spirochetosis is sometimes found Andrographis by chance in histological specimen of routine endoscopies.There are only a few cases described in the literature that spirochetosis of the appendix was mimicking acute appendicitis.We present a case of pseudoappendicitis with the histological finding of spirochetes and review the current literature.

Case Presentation: A 72-year-old woman presented with pain of the lower right abdomen and previous systemic corticoid therapy.In clinical examination, there was a tenderness and pain in the right lower quadrant, and inflammation values were elevated.An abdominal computed tomography scan revealed no obvious inflammation of the appendix.

A diagnostic laparoscopy was performed and revealed a macroscopically uninflamed appendix which was removed.Histology revealed spirochetosis of the appendix but no typical signs of appendicitis.The patient was treated with antibiotics for 5 days and was discharged without abdominal pain.

In a clinical control 6 weeks later, the abdominal pain had disappeared and the patient was in good clinical condition.Discussion: Intestinal spirochetosis is randomly found in Horse Calmers histological specimen during routine endoscopies, even in asymptomatic patients.There are only a few cases described with spirochetosis of the appendix causing pain and mimicking appendicitis; hence, this entity is an important differential diagnosis of pain in the right lower quadrant of the abdomen.