* Detailed history was elicited with due consideration to age, sex, occupation, socio-economic status and the presenting symptoms, specially the history of migratory pain to right lower quadrant
, anorexia, nausea and vomiting or urinary symptoms.
The second type shows typical intussusception signs, which include abdominal pain and sometimes vomiting, accompanied by diarrhea and melena.The third type has signs and symptoms such as melena, vomiting, and recurrent right lower quadrant
pain that can persist for weeks or months.
The surgical records of the patient regarding the initial appendectomy revealed that the appendix was perforatedin the middle portion and the visibility of the appendix was obscured by the adhesions in the right lower quadrant
and the accumulation of inflammatory material and debris.
A contrast-enhanced CT scan at that time showed inflammation in the right lower quadrant
centered about a loop of thick-walled distal ileum (Figure 1A).
Migration of pain, continuous abdominal pain and presence of an appendicolith on X-ray, guarding, rebound tenderness, thickened appendixwall, gurgling, neutrophilia, leucocytosis, increased appendix diameter on ultrasound, localized gas deposition on X-ray, bilious vomiting, periappendiceal free fluid, localized air-fluid level, scoliosis to the right side, pyrexia, right lower quadrant
tenderness, increased CRP levels, anorexia, and male gender were the other predictors with decreasing OR values, consecutively.
Abdominal tenderness to palpation usually accompanies reports of pain, and a mass may be palpated in the right lower quadrant
(RLQ) in 25-50% of patients.
The findings suggest desmoid recurrence in the right lower quadrant
A 59-year-old female with no significant past medical history presented to the emergency department with acute onset right flank pain radiating to the right lower quadrant
. The pain was described as stabbing and constant and associated with nausea and vomiting.
Right lower quadrant
masses can be of many different origins, including gynecologic or gastrointestinal origins.
Caption: Figure 2: Operative findings: left upper: overview of the right lower quadrant
showing appendix mucocele; right upper: the appendix is gently lifted up; left lower: the appendix is stapled just below the base; right lower: the appendix has been stapled, only the mesoappendix is grabbed.
Diagnostic characteristics of S100A8/A9 in a multicenter study of patients with acute right lower quadrant
A 13x12 cm mobile mass was palpated in the right lower quadrant
of the abdomen.