An Unusual Manifestation of Acute Appendicitis with Left Flank Pain

Overview

Journal J Radiol Case Rep

Specialty Radiology

Date 2012 Apr 4

PMID 22470581

Citations 4

Authors

Roland Talanow

Affiliations

Soon will be listed here.

Abstract

The author presents a case with an unusual presentation of early appendicitis. The patient presented initially with left sided flank pain. Workup for nephrolithiasis, including non-contrast CT of the abdomen and pelvis was negative for renal stones or hydronephrosis. After discharge, the patient presented one week later in the ED with right lower quadrant pain. Contrast enhanced CT of the abdomen revealed perforated appendicitis.

Citing Articles

Acute Appendicitis Presenting As Left Flank Pain: A Case Report.

Badawy I, Mbaya K, Metwally H Cureus. 2024; 16(6):e62181.

PMID: 38993448 PMC: 11239144. DOI: 10.7759/cureus.62181.

A rare case of perforation of the subhepatic appendix by a toothpick in a patient with intestinal malrotation: laparoscopic approach.

Grassi V, Desiderio J, Cacurri A, Gemini A, Renzi C, Corsi A G Chir. 2016; 37(4):158-161.

PMID: 27938532 PMC: 5161218. DOI: 10.11138/gchir/2016.37.4.158.

An unusual presentation of perforated appendicitis in epigastric region.

Odabasi M, Arslan C, Abuoglu H, Gunay E, Yildiz M, Eris C Int J Surg Case Rep. 2014; 5(2):76-8.

PMID: 24441442 PMC: 3921649. DOI: 10.1016/j.ijscr.2013.12.005.

Unusual case of acute appendicitis with left upper quadrant abdominal pain.

Tawk C, Zgheib R, Mehanna S Int J Surg Case Rep. 2012; 3(8):399-401.

PMID: 22677782 PMC: 3376725. DOI: 10.1016/j.ijscr.2012.05.002.

References

Lowe L, Penney M, Scheker L, Perez Jr R, Stein S, Heller R . Appendicolith revealed on CT in children with suspected appendicitis: how specific is it in the diagnosis of appendicitis?. AJR Am J Roentgenol. 2000; 175(4):981-4. DOI: 10.2214/ajr.175.4.1750981. View

Benjaminov O, Atri M, Hamilton P, Rappaport D . Frequency of visualization and thickness of normal appendix at nonenhanced helical CT. Radiology. 2002; 225(2):400-6. DOI: 10.1148/radiol.2252011551. View

Catalano O, Nunziata A, Sandomenico F, Siani A . Acute flank pain: comparison of unenhanced helical CT and ultrasonography in detecting causes other than ureterolithiasis. Emerg Radiol. 2004; 9(3):146-54. DOI: 10.1007/s10140-002-0213-z. View

Rabinowitz C, Egglin T, Beland M, Mayo-Smith W . Outcomes in 74 patients with an appendicolith who did not undergo surgery: is follow-up imaging necessary?. Emerg Radiol. 2007; 14(3):161-5. DOI: 10.1007/s10140-007-0613-1. View