[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-460763-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-460763-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","synchronous-acute-appendicitis-and-acute-cholecystitis-a-report-of-a-rare-case","Synchronous Acute Appendicitis and Acute Cholecystitis - A Report of a Rare Case","","Two of the most common emergent surgical emergencies—acute appendicitis and acute cholecystitis—rarely occur together at the same time. This case report describes a 29-year-old woman with three days of worsening right lower quadrant pain, nausea, and vomiting, with CT-guided drainage for acute appendicitis with probable localized perforation and peri-appendiceal abscess. After discharge, she returned 17 days later with new right upper quadrant pain, where ultrasound and CT showed concurrent appendicitis and cholecystitis. Laparoscopic cholecystectomy and appendectomy were performed.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/synchronous-acute-appendicitis-and-acute-cholecystitis-a-report-of-a-rare-case/460763/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/synchronous-acute-appendicitis-and-acute-cholecystitis-a-report-of-a-rare-case/460763.png","ImageObject",300,407,{"name":42,"@type":43},"Valentina","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is synchronous acute appendicitis and acute cholecystitis considered rare?","Question",{"text":63,"@type":64},"The report explains that while both acute appendicitis and acute cholecystitis are common individually, simultaneous presentation is rare, with prior literature identifying only a limited number of coexistent case reports.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How did clinicians diagnose the first episode?",{"text":68,"@type":64},"The patient’s evaluation showed acute appendicitis with probable localized perforation and a peri-appendiceal abscess, and CT-guided drainage was performed.",{"name":70,"@type":61,"acceptedAnswer":71},"What was done after the patient returned 17 days later?",{"text":72,"@type":64},"Ultrasound and CT demonstrated findings consistent with appendicitis and cholecystitis with gallstones and mild gallbladder wall thickening, followed by laparoscopic cholecystectomy and appendectomy.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},460763,1791201373,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":55,"slug":125},"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":107,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","Review began 10/09/2025  \nReview ended 12/02/2025  \nPublished 12/09/2025  \n© Copyright 2025  \nKim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98850  \nOpen Access Case Report  \nSynchronous Acute Appendicitis and Acute Cholecystitis: A Report of a Rare Case  \nSamuel C. Kim 1, Salvatore Grasso 2, Anthony McCloud 1, Gudata Hinika 1  \n1. General Surgery, California Hospital Medical Center, Los Angeles, USA 2. Medicine, Ross University School of Medicine, Los Angeles, USA  \nCorresponding author: Samuel C. Kim, [samuel.kim6@gmail.com](samuel.kim6@gmail.com)  \nAbstract  \nTwo of the most common emergent surgical interventions are acute appendicitis and acute cholecystitis. However, synchronous presentation is rare. In this report, we present a 29-year-old female patient with three days of worsening right lower quadrant (RLQ) pain with nausea and vomiting. Physical examination showed tenderness to palpation at the RLQ. Workup showed acute appendicitis with probable localized perforation and peri-appendiceal abscess, and CT-guided drainage was performed. The patient was discharged after four days. Seventeen days later, the patient returned to the ED with complaints of new right upper quadrant (RUQ) pain with nausea, vomiting, and loss of appetite. The ultrasound showed similar gallbladder findings with a positive sonographic Murphy’s sign. A CT scan showed appendicitis and cholecystitis with gallstones and mild gallbladder wall thickening. The patient then had a laparoscopiccholecystectomy and appendectomy. This case report sheds new light on this rare and interesting surgical emergency.  \nCategories: General Surgery, Emergency Medicine, Internal Medicine  \nKeywords: appendicitis, cholecystitis, laparoscopy surgery, surgery, synchronous presentation  \nIntroduction  \nAcute appendicitis and acute cholecystitis are very common in the United States. There are approximately 350,000 cases of appendicitis and 200,000 cases of cholecystitis annually [1,2] . Acute appendicitis often presents as pain in the periumbilical region that migrates to the right lower quadrant (RLQ) to McBurney’s Point, while acute cholecystitis often presents as pain in the right upper quadrant (RUQ) or epigastrium with possible radiation to the right shoulder or back and a positive Murphy’s sign. Both conditions often present with fever, nausea, vomiting, and/or anorexia.  \nAcute appendicitis is usually diagnosed by a CT scan, a medical imaging technique used to obtain detailed internal images of the body, and a physical examination. Sensitivity is reported at 0.95 (95% CI [0 .93, 0.96]) and specificity at 0.94 (95% CI (0 .92, 0.95)) using a CT scan to diagnose acute appendicitis [3] . Acute cholecystitis is usually diagnosed with an ultrasound, an imaging test that uses sound waves to make pictures of organs, tissues, and other structures inside the body, but a CT scan can also be effective. The ultrasound has the best unadjusted sensitivity (0 .97; 95% CI (0 .95, 0.99)) and specificity (0 .95; 95% CI (0 .88, 1.00)) for evaluating patients with acute cholecystitis [4] .  \nEach individual condition and presentation in patients can be treated medically with antibiotics and symptom management or surgically with laparoscopic resection or open resection [5,6] . Laparoscopic surgery is the gold standard for both conditions, respectively [1,7] . There have been rare cases of synchronous appendicitis and cholecystitis. One literature review found only 11 case reports of coexistent acute appendicitis and acute cholecystitis [8] . Furthermore, one coexistent case of ruptured appendix and acute cholecystitis has been reported [9], while another case with ruptured gallbladder and acute appendicitis has been reported [10]. In this report, we present ","cbCaih5y9Kkt6SeA","https://ap.wps.com/l/cbCaih5y9Kkt6SeA","pdf",1324997,"English","# Abstract\n# Introduction\n## Diagnosis of acute appendicitis and acute cholecystitis\n## Treatment approaches and rarity of synchronous cases\n# Case Presentation","[{\"question\":\"Why is synchronous acute appendicitis and acute cholecystitis considered rare?\",\"answer\":\"The report explains that while both acute appendicitis and acute cholecystitis are common individually, simultaneous presentation is rare, with prior literature identifying only a limited number of coexistent case reports.\"},{\"question\":\"How did clinicians diagnose the first episode?\",\"answer\":\"The patient’s evaluation showed acute appendicitis with probable localized perforation and a peri-appendiceal abscess, and CT-guided drainage was performed.\"},{\"question\":\"What was done after the patient returned 17 days later?\",\"answer\":\"Ultrasound and CT demonstrated findings consistent with appendicitis and cholecystitis with gallstones and mild gallbladder wall thickening, followed by laparoscopic cholecystectomy and appendectomy.\"}]","Synchronous Acute Appendicitis and Acute Cholecystitis - A Report of a Rare Case | PDF",1790759465,18]