A 20-year-old male patient presented to the ER with complaints of abdominal pain, nausea and vomiting. The pain was initially peri-umbilical in nature, however, with time, the pain worsened and shifted to right lower quadrant. On palpating the abdomen, tenderness is present over right lower quadrant with guarding. Patient is febrile and lab repos show leukocytosis. Emergency laparotomy is planned and the inflamed organ is identified by the confluence of taenia coli. Which position of the above-mentioned organ is considered to be the most dangerous position?
Correct Answer: B
Description: A- Post ileal B- Pre ileal C- Retro-cecal D- Pelvic The patient is suffering from acute appendicitis. During laparotomy, the appendix is identified by confluence of taenia coli. Pre-ileal variety of splenic position is considered to be the most dangerous position because it is associated with higher chances of spread to general peritoneal cavity. Retrocecal variety is the most common and Pelvic is the 2nd most common anatomical position of the appendix.
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