Appendicitis is the most common abdominal disease that requires surgery in the emergency ward. It usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (LUQ) pain due to congenital anatomical abnormalities of the intestine. We report a patient who complained of persistent LUQ abdominal pain and was finally diagnosed by computed tomography (CT) as congenita...

A 58-year-old man complained of having had pain for the past 12 hours in his left-lower quadrant, with nausea and vomiting. His pain was well localized and without radiation. He had not had a bowel movement since the onset of the pain. He had had no previous similar episodes, and had no other significant past medical or surgical history. Upon examination, he was focally tender in the left lower...

A 25-year-old woman (G3P2) underwent an uneventful elective pregnancy termination of a 16week gestation by dilatation and evacuation (D&E) under general anesthesia. Two days later she was admitted with left lower quadrant pain, fever, and a hematocrit of 29.1. A curette was passed to 13 cm, eliciting back pain but yielding no tissue. Laparoscoy revealed considerable intra-abdominal blood, and i...

A 41-year-old woman was referred to our Department for persistent lower left-sided abdominal pain. Two weeks before she complained of diarrhea of two-day duration. Immediately afterwards she began experiencing an increasingly sharp and severe abdominal pain in the left lower quadrant for which she twice visited the Emergency Department; however no definite diagnosis was established and irritabl...

An 18-year-old man was playing football at a local university when he was hit in the stomach with an opponent’s helmet. He immediately experienced left upper quadrant abdominal pain. Despite taking a rest on the sidelines, his pain increased. Upon arrival at the emergency department, the patient’s vital signs were as follows: temperature, 37.8°C (100.1°F); pulse, 110 beats per minute; respirato...