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Appendicitis in an adult patient with cystic fibrosis: a diagnostic challenge
  1. Yahya Al Abed,
  2. W Hameed,
  3. J Roy,
  4. A P S Kumar
  1. Milton Keynes General Hospital, Milton Keynes, UK
  1. Yahya Al Abed, Milton Keynes General Hospital, StandingWay, Milton Keynes MK6 5LD, UK; yalabed{at}yahoo.co.uk

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We refer to the article by Wilschanski and Durie (Gut 2007;56:1153–63) in which they addressed the challenges of establishing or excluding a cystic fibrosis (CF) diagnosis in patients who present de novo in adulthood.

We present a 44 year old male CF patient who presented with a 24 hour history of intermittent and colicky central abdominal pain and vomiting. Chronic constipation remained a persistent problem for him for several years despite regular use of laxatives. There was no history of any abdominal surgery.

On examination he was apyrexial but tachycardiac. His abdomen was soft, distended, with localised tenderness in the right iliac fossa. There were no palpable abdominal masses and bowel sounds were normal as was rectal examination. …

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