Chronic Appendicitis: A rare Cause of Recurrent Abdominal pain – A case Report

Authors

  • Sunischit Chandra Neupane Medical Officer Nepalese Army Institute of Health Sciences, Bhandarkhal, Sanobharyang, Kathmandu, Nepal.
  • Sujan Tamang Medical Officer, All from Department of Surgery, Nepalese Army Institute of Health Sciences, Bhandarkhal, Sanobharyang, Kathmandu, Nepal
  • Sunil Basukala Assistant Professor, All from Department of Surgery, Nepalese Army Institute of Health Sciences, Bhandarkhal, Sanobharyang, Kathmandu, Nepal
  • Abhishek Shrivatav Medical Officer, All from Department of Surgery, Nepalese Army Institute of Health Sciences, Bhandarkhal, Sanobharyang, Kathmandu, Nepal

Keywords:

Chronic appendicitis, Diagnostic challenge, Elective appendectomy, Histopathological diagnosis, Imaging in appendicitis

Abstract

Chronic appendicitis is a rare, often overlooked cause of recurrent right lower quadrant pain, presenting with vague and intermittent symptoms. Its diagnosis is challenging due to the lack of clear clinical criteria. While imaging tools like ultrasound and CT scan aid evaluation, definitive diagnosis requires histopathology. Despite its low incidence, chronic appendicitis should be considered in patients with unexplained, persistent abdominal pain. Early recognition and timely surgical management can provide complete symptom relief and prevent delays in treatment. Including it in the differential diagnosis is essential to avoid missed or delayed intervention.

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Published

2025-11-13

How to Cite

Neupane, S. C., Tamang, S., Basukala, S., & Shrivatav, A. (2025). Chronic Appendicitis: A rare Cause of Recurrent Abdominal pain – A case Report. Medical Journal of Shree Birendra Hospital, 24(2), 41–44. Retrieved from https://www.nepjol.info/index.php/MJSBH/article/view/87694

Issue

Section

Case Reports