Ileal Diverticulitis as a Cause of Right Lower Quadrant Pain: A Case Report and Review of the Literature

2015 ◽  
Vol 3 (4) ◽  
Author(s):  
Jiten P. Kothadia ◽  
Seymour Katz ◽  
Lev Ginzburg
2012 ◽  
Vol 2012 (11) ◽  
pp. rjs010-rjs010 ◽  
Author(s):  
S. Kleyman ◽  
L. Logue ◽  
V. Lau ◽  
E. Maio ◽  
A. Sanni ◽  
...  

2018 ◽  
pp. 1-3
Author(s):  
Jesse Pasternak ◽  
Megan Melland-Smith

Introduction: An inflamed appendix found within a femoral hernia, a de Garengeot hernia, is a rare occurrence which can present with a variety of different symptoms and be a challenge to surgical management. Case Presentation: We present the case of a 59-year-old female who presented with migratory right lower quadrant pain and was found to have a de Garengeot hernia diagnosed pre-operatively on CT imaging. She was taken to the OR for an urgent laparoscopic appendectomy with closure of the femoral hernia sack. Given this is not a true repair, the patient was scheduled for an elective femoral hernia repair subsequently. Discussion: This is the first report of a de Garengeot hernia from the Toronto area. Our case is the first of its kind to present with typical signs of appendicitis without any obvious bulge in the groin. Conclusion: This case report describes two very common acute surgical presentations, appendicitis and incarcerated hernia, seen simultaneously with only one rare pathology.


2020 ◽  
Vol 4 (4) ◽  
pp. 555-558
Author(s):  
Cindy Shavor ◽  
Justine Pagenhardt ◽  
YuanYuan Sun ◽  
Clara Kraft ◽  
Bradley End ◽  
...  

Introduction: Abdominal pain is a common complaint in the emergency department. Point-of-care ultrasound (POCUS) is a rapid modality to evaluate for the etiology. Case Report: A teenage male presented with symptoms concerning for appendicitis. POCUS revealed a non-peristalsing, non-compressible, tubular structure containing an echogenic stone. This was determined to be a ureteral stone within a dilated ureter, not appendicitis. Conclusion: We propose a syndromic sonographic approach to right lower quadrant pain (RLQ) that includes the gallbladder, right kidney, bladder, and right adnexa, in addition to RLQ landmarks. This case emphasizes the value of such an approach to avoid diagnostic error.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 573-574
Author(s):  
Michael J. A. Ward ◽  
Thomas G. Frazier

A case of torsion of a normal right ovary and tube in an 8-year-old child is presented. True infarction of the adnexa can be prevented only by considering this diagnosis early in the course of right lower quadrant pain. It is recommended that a routine exploration of the pelvis be carried out in any patient explored for acute appendicitis in whom that diagnosis cannot be made at the operating table.


2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Ayoub Innabi ◽  
Wa’el Tuqan ◽  
Alia Alawneh ◽  
Alaa Saleh ◽  
Kamal Alrabi ◽  
...  

We present a rare case of intussusception in a 41-year-old man with acute myeloid leukemia without an evidence of leukemic infiltration of the bowel. The patient presented to the emergency room with right lower quadrant pain. Initially he was diagnosed with typhlitis. CT scan was done and showed ileocolic intussusception without a definitive lead point identified. Patient underwent hemicolectomy and histopathological study of the specimen did not show any leukemic infiltrate. High suspicion of intussusception should be kept in mind with leukemic patients presenting with abdominal pain.


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