15) Periappendiceal fat stranding is an important early sign of appendicitis, appearing as thin bands of T2 hyperintense fluid in the RLQ
7 Chronic intermittent pain relieved by passage of flatus was reported by 54% of our patients, but 31% complained of pain in RLQ
compared to 9% in other causes of small intestinal obstruction.
CT without contrast is indicated for patients with RLQ
pain who have a contraindication to contrast media, although the relative radiation level remains the same.
Excluding other obvious pathology (especially in female patients where gynecologic history, beta human chorionic gonadotropin, and pelvic examination need to be clearly delineated), the combination of RLQ
pain, gastrointestinal symptoms following the onset of pain, and fever or elevated WBC or left shift is all that is required to operate on a patient.
The enlarged grossly visible mesenteric nodes seen in diagnostic laparoscopy in a patient presenting with acute RLQ
pain is usually due to acute mesenteric lymphadenitis.
pain is a common symptom in patients with right-sided diverticulitis, nausea and vomiting are not (26.
The current study was planned to assess the sensitivity and specificity of ultrasonography in differentiating causes of acute RLQ
pain in women of child-bearing age by taking surgical outcome as the gold standard.
Isolate the mesoappendix and cauterize and divide it using 5-mm ultrasonic shears inserted through the RLQ
trocar (FIGURE 2).
We report a 26-year-old male patient who presented to the emergency room with a 3-day history of nausea and progressive RLQ
Her abdominal exam was remarkable for tenderness and mild rebound to the RLQ
We identify four active myofascial trigger points in the RLQ
, as well as uterine and adnexal tenderness upon examination.
She had mild RLQ
tenderness and right suprapubic pain, but no rebound or guarding.