Introduction:

Abdominal pain is one of the most frequent reasons for consultation in the emergency services, its adequate diagnostic approach determines the treatment to be chosen by the doctor in charge of the case; This in turn can opt for medical or surgical management, all this if the underlying cause of the symptoms presented by the patient is considered.

Clinical case:

This article presents the case of a male patient in the fifth decade of life, with a surgical history of appendectomy, which he consults due to a clinical picture of intense abdominal pain located in the right iliac fossa. In the physical examination, the presence of signs of peritoneal irritation was striking, for which serological studies were requested, which were found to be within normal parameters, in addition to a computed tomography of the abdomen that revealed trabeculation of pericecal fat. The patient persisted with symptoms, so he was taken for open abdominal cavity exploration, with an intraoperative finding of acute appendagitis.

Conclusion:

Despite being an infrequent cause of acute surgical abdomen, acute appendagitis should always be a diagnosis to be considered by emergency physicians and surgeons. The availability of imaging studies that allow an adequate characterization of the clinical picture is going to be essential for the management of patients, especially if the whole variety of entities that occur in the abdominal cavity are taken into account.