Case 11.3

History Of ◽

The Right ◽

Superior Margin ◽

11-year-old girl with a 3-month history of increasing intermittent right lower quadrant pain Coronal oblique FSE T2-weighted images (Figure 11.3.1) demonstrate a markedly enlarged right ovary that contains a prominent cyst (the normal left ovary can be seen along the left superior margin of the right ovary, with multiple small follicles). Sagittal fat-suppressed FSE T2-weighted image (...

Case 9.10

Mayo Clinic Body MRI Case Review ◽

10.1093/med/9780199915705.003.0232 ◽

2014 ◽

pp. 439-440

Author(s):

Christine U. Lee ◽

James F. Glockner

Keyword(s):

Crohn Disease ◽

Distal Ileum ◽

Quadrant Pain ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

History Of ◽

The Right ◽

24-year-old man with 5-year history of Crohn disease now with worsening right lower quadrant pain, difficulty eating, and diarrhea Coronal SSFSE (Figure 9.10.1), fat-suppressed 2D SSFP (Figure 9.10.2), and postgadolinium 3D SPGR (Figure 9.10.3) images show marked thickening of the distal ileum, with matted loops of ileum in the right lower quadrant. Note the prominent enteroenteric fistula in the distal ileum....

A Case of Postpartum Thrombophlebitis of a Retroperitoneal Varix Mimicking Acute Appendicitis

Journal of Diagnostic Medical Sonography ◽

10.1177/8756479319848744 ◽

2019 ◽

Vol 35 (5) ◽

pp. 432-437

Author(s):

Paula Glackin ◽

Lars G. Crabo

Keyword(s):

Acute Appendicitis ◽

Correct Diagnosis ◽

Ovarian Vein ◽

Quadrant Pain ◽

Sonographic Examination ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

The Right ◽

A case of thrombophlebitis of a retroperitoneal varix in a postpartum patient with right lower quadrant pain is presented. The sonographic examination was falsely positive for appendicitis, but the correct diagnosis was made with a subsequent computed tomogram. The thrombosed varix was likely a collateral of the right ovarian vein, analogous to postpartum ovarian vein thrombophlebitis (POVT), an uncommon potentially fatal disorder. POVT is reviewed, emphasizing features useful for distinguishing it from appendicitis at sonography. Sonographers should be aware of the possibility of thrombophlebitis when examining postpartum patients with right lower quadrant pain.

Ewing’s Sarcoma of Ilium, Presenting as Right Lower Quadrant Pain

Case Reports in Orthopedics ◽

10.1155/2015/629601 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

Osama Saleh Alshaya ◽

Munzir Izzeldin Abbasher ◽

Mubashir Maqbool Wani

Keyword(s):

Ewing’S Sarcoma ◽

Ewing's Sarcoma ◽

Quadrant Pain ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Diagnostic Confusion ◽

Radiological Changes ◽

The Right ◽

Ewing’s sarcoma is a highly malignant tumor of bone and is more common in children in the age group of 10 to 20 years. Sometimes the classic clinical and radiological presentation of Ewing’s sarcoma may not be the norm and patient may have an atypical presentation leading to diagnostic confusion. This situation is especially true for Ewing’s sarcoma involving iliac bone. We report a case of Ewing’s sarcoma involving the right ilium in a patient presenting with right lower quadrant pain and nonspecific radiological changes. To the best of our knowledge, this scenario has not been reported in literature. We recommend early magnetic resonance imaging and computed tomography to diagnose the disease early when there is slightest suspicion of the disease.

Posttransplant Intrarenal Lymphangiectasia

Case Reports in Transplantation ◽

10.1155/2020/8824833 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Ali Kord ◽

Enrico Benedetti ◽

James T. Bui

Keyword(s):

Resonance Imaging ◽

Quadrant Pain ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Benign Condition ◽

History Of ◽

Magnetic Resonance Imaging Mri ◽

Transplanted Kidneys ◽

Renal lymphangiectasia is an extremely rare benign condition in the setting of transplanted kidneys. We describe a 50-year-old female with a past medical history of lupus nephritis and renal transplants who presented with right lower quadrant pain and was found to have intrarenal lymphangiectasia on imaging and laboratory tests. The patient was treated with percutaneous drainage initially and then wide peritoneal fenestration and omentoplasty. An extremely rare adult case with intrarenal lymphangiectasia thirteen months after kidney transplant was described in this study. Imaging, particularly computed tomography (CT) and magnetic resonance imaging (MRI), plays a key role in the diagnosis of renal lymphangiectasia.

Just the Facts: Ovarian torsion in the emergency department setting

CJEM ◽

10.1017/cem.2020.436 ◽

2020 ◽

Vol 22 (6) ◽

pp. 756-759

Author(s):

Brit Long ◽

Elisha Targonsky ◽

Alex Koyfman

Keyword(s):

Emergency Department ◽

Vaginal Bleeding ◽

Quadrant Pain ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

The Past ◽

Emergency Department Setting ◽

The Right ◽

A 23-year-old female presents with right lower quadrant pain that has been intermittent for the past several days. The pain suddenly worsened 1 hour ago. She denies vaginal bleeding or discharge, dysuria, fever, and back pain, but she has had several episodes of nausea with nonbloody, nonbilious vomiting. On examination, she is tender in the right lower quadrant, but her abdomen is not rigid.

A Patient with an Unusual Cause Right Lower Quadrant Pain and Vomiting: Pyelonephritis of an Ectopic Right Kidney Masquerading as Acute Appendicitis

Case Reports in Medicine ◽

10.1155/2009/638501 ◽

2009 ◽

Vol 2009 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Michele N. Lossius ◽

Carlos E. Araya ◽

Dwayne D. Henry ◽

Richard E. Neiberger

Keyword(s):

Acute Appendicitis ◽

Surgical Intervention ◽

Clinical Findings ◽

Adolescent Female ◽

Quadrant Pain ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

The Right ◽

An adolescent female presented with one day of abdominal pain and clinical findings of acute appendicitis. CT scan revealed an ectopic right kidney with changes of acute pyelonephritis. This paper underscores the importance of imaging the right pelvis prior to surgical intervention in suspected cases of acute appendicitis in children.