OBJECTIVE This case study describes a patient with persistent right lower quadrant and low back pain who experienced relief after manual mobilization techniques of an old appendectomy scar. CLINICAL FEATURES A 53-year-old man with pain in the right lower quadrant of the abdomen and low back had previously failed several trials of multimodal treatments. He had an irritated old appendectomy sca...

We report an interesting case of ileal diverticulitis which posed a diagnostic challenge. A 75-year-old female presented to the emergency department with severe right lower quadrant pain for 3 days. The clinical history, examination and imaging suggested a diagnosis of acute appendicitis. The patient was taken to the operating room for an open appendectomy. The intra-operative findings demonstr...

The most common cause of acute right lower quadrant (RLQ) pain requiring surgery is acute appendicitis (AA). This narrative's focus is on imaging procedures in the diagnosis of AA, with consideration of other diseases causing RLQ pain. In general, Computed Tomography (CT) is the most accurate imaging study for evaluating suspected AA and alternative etiologies of RLQ pain. Data favor intravenou...

A 62-year-old woman presented to a hospital in rural Australia with complaints of left lower quadrant abdominal pain, bloating, dyspnea, and a dry cough. She reported weight loss of 4 kg over 2months (previously, 48.5kg), fevers, and fatigue. Her medical history was significant for chronic constipation since age 20 years, and hemorrhoidectomy at age 59 years. Physical examination revealed moder...

A 67 year man presented with six-week persistent left lower quadrant pain. He is known to have hypertension, hyperlipidemia and prior removal of two diminutive polyps from the sigmoid colon six years before this presentation. One was tubular adenoma and the second was hyperplastic. He was also found to have sigmoid colon diverticulosis and internal hemorrhoids. Another colonoscopy was done as p...

An isolated fallopian tube torsion is a rare, often difficult to diagnose, but significant cause of acute lower abdominal pain in women of the reproductive age group. It is rare in the perimenopausal age group. We are presenting a literature review and the case of a 47 years old woman who presented with a sudden onset of acute lower abdominal pain . Her clinical examination revealed an 8x8 cm, ...

BACKGROUND Torsion of an otherwise normal appendix vermiformis is exceedingly rare and usually presents with symptoms consistent with acute appendicitis. We present the unusual case of an infant girl who was admitted with right lower quadrant pain and focal peritonitis who was found to have appendiceal torsion on laparoscopy. CASE REPORT An 11-week-old girl was brought to the emergency depar...

s: Right lower quadrant abdominal pain (RLQP) is one of the commonest causes for surgical emergencies. Beyond appendicitis and ileocecal (IC) tuberculosis; right iliac fossa pain indicates a varied list of differential diagnoses thus posing a challenge to surgeons. Causes of RLQP other than appendicitis and IC tuberculosis include inflammatory and infectious conditions involving the ileocecal r...

is one of the commonest symptoms general surgeons are asked to evaluate. Apart from classical appendicitis, the differential diagnosis includes conditions confined to the appendix, such as cystadenoma or carcinoid, and those separate from the appendix, such as ruptured ovarian cyst, cecal diverticulitis, Crohn’s disease and other causes of terminal ileitis. Torsion of the epiploic appendix (app...