Cases Case # 1: Girl, 11, afflicts right lower quadrant pain for 3 months. Background Prematurity, atopy (dermatitis, rhinitis, colic). Sister and atopic mother. Physical examination: exquisite tenderness in the right iliac fossa, bilateral Cord colic pain. Dry skin. Laboratori data:all hematology is normal. Examination of normal urine, serial parasitological (-). EDN (eosinophil derived neurot...

BACKGROUND Clinical assessment of acute appendicitis can be challenging due to atypical presentation. Computed-tomography can reduce negative appendectomies but not without adverse effects. We report our experience with preoperative CT-scan in patients with suspected acute appendicitis. PATIENTS AND METHODS During 3-years, 257 adult patients underwent appendectomy. We retrospectively reviewed...

BACKGROUND Prior study has shown that right paracolic adhesions are found in 90% of patients with chronic pelvic pain and less frequently in pain-free patients. We set out to determine whether paracolic adhesiolysis will reduce site-specific pain. METHODS This was a prospective, randomized trial of right paracolic adhesiolysis at the time of diagnostic and operative laparoscopy for chronic pe...

BACKGROUND Chronic appendicitis may be detected in as many as 10% of patients with right lower quadrant pain. Although the appendiceal orifice is easily identified during colonoscopy, its lumen has not been investigated so far. OBJECTIVES To determine the feasibility of endoscopic appendix imaging to identify features of chronic appendicitis in patients with recurrent right lower quadrant pai...

OBJECTIVE Abdominal pain is a frequently encountered problem in children. Suspicious right lower quadrant pains are sometimes a problem for pediatric surgeons. In this study, we wanted to evaluate the effectiveness of laparoscopy in diagnosis and treatment of children with suspicion of abdominal pain. METHODS The files of 84 patients treated with a diagnosis of suspicious right lower quadrant...

We report the case of a middle-aged man admitted for five months of unexplained left lower quadrant pain. He had been hospitalized on two prior occasions and treated with broad spectrum antibiotics. His clinical presentation was suggestive peritoneal irritation with severe, focal pain on abdominal palpation. Computed tomography scans showed non-specific inflammation in the left lower abdomen wi...