Acute Appendicitis in a 95 Years Old male Patient: Uncommon Age for a Common Disease – A Case Report and Review of Literature

With increased life expectancy and the growing total population of elderly patients, there has been rise in the number of cases of acute appendicitis in elderly people. Although acute appendicitis is not the most typical pathological condition in the elderly, it is not uncommon. Most of these patients require surgical treatment, and as with any acute surgical pathology in advanced age, treatment possibilities are affected by comorbidities, overall health status, and an increased risk of complications.

This case is about a 95 years old male with abdominal pain and Acute appendicitis that CT shows inflammation and appendectomy in safe mode did and he discharge healthy.

Appendicitis, an inflammation of the vermiform appendix, is one of the most common causes of acute abdomen and one of the most frequent indications for emergency abdominal surgery worldwide. Any person older than 65 years old is considered elderly. The elderly population constitutes only 5-10% of total appendicitis cases. The symptoms depend on the location of the appendix. Generally, lower abdominal pain and anorexia are known to be the most common symptoms of appendicitis. Although young adults have a higher prevalence of appendicitis, the elderly have a higher complication rate, 37.5% versus 43.97%. Acute appendicitis in the elderly constitutes a small percentage of total appendicitis cases, has a wide range of presentations, and is associated with a higher rate of complications, making it a challenging diagnosis. Thus, we believe that acute appendicitis in the elderly needs to be further studied and more data should be added to the literature which will help establish the diagnosis of appendicitis to avoid delayed diagnosis and possible complications.