A Rare Presentation of Subhepatic Caecum and Appendix with Atrophic Gall Bladder in a Cadaver

Abstract

A case of subhepatic, mobile caecum and appendix was found in a 65-year-old male cadaver. The appendix was attached to the right wall of caecum, in addition, a small and atrophic gall bladder, only 1.5 cm in length, was noted in the fossa for gall bladder of liver, connected to the right colic flexure by a cystocolic peritoneal band. The case was found during the routine dissection for the undergraduate medical students. This kind of finding has not been reported in any previous literature associated with subhepatic caecum. This unusual position of appendix might cause atypical sign and symptoms during episode of acute appendicitis. This might affect the gall bladder, located in close vicinity, leading to inflammation, atrophy and adhesion to the adjacent right colic flexure. This type of case might cause diagnostic and management challenges for the clinicians and complicated disease conditions in the patients.

Keywords

• appendicitis
• cholecystitis
• dissection
• malrotation