Synchronized Legg-Calve Perthes disease and comorbid perforated appendicitis

Abstract

Abdominal pain is a very common complaint caused by a variety of conditions. Acute appendicitis is the most common cause of acute abdominal pain in children requiring surgical intervention. Legg-Calve-Perthes disease (LCPD) is a childhood condition that affects the hip, where the thighbone (femur) and pelvis meet in a ball-and-socket joint. The disease is initially asymptomatic or there is painless limp. The pain associated with LCPD is often localized in the inguinal region. The present study is aimed to present a patient with LCPD and comorbid perforated appendicitis and to highlight the importance of the differential diagnosis of abdominal pain as a delay in diagnosis can increase the risk of mortality. Analyzing the imaging technique, from the study it has been found out that clinicians should examine all the field about the diagnosis, not only the field around disease as a patient might have two separate acute problems at same time. (C) 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).