A 15-year-old boy came to the emergency department with abdominal pain in the left lower quadrant. The medical history included surgery for malrotation of bowel in two of his brothers. A CT-abdomen showed malrotation of the colon with a left-sided appendicitis and polysplenia. An emergency laparoscopic appendectomy was performed. Recovery was uneventful.

anorexia developed, and the patient, too fatigued to prepare her meals, would often go to bed immediately upon returning from her work. Despite these symptoms she continued at her occupation until two weeks and a half before admission, when she was seized with severe pain in the right lower quadrant of the abdomen, which gradually spread to the upper right quadrant. It remained more or less con...

BACKGROUND Infectious mononucleosis, caused by the Epstein-Barr virus (EBV), is a common infection with worldwide distribution; more than 90% of people have been infected by adulthood. One of the most feared, albeit rare, complications, occurring in less than 0.5% of those infected, is splenic injury or rupture. CASE REPORT A febrile 15-year-old male presented to the emergency department with...

Acute abdominal pain can represent a spectrum of conditions from benign and self-limited disease to surgical emergencies. Evaluating abdominal pain requires an approach that relies on the likelihood of disease, patient history, physical examination, laboratory tests, and imaging studies. The location of pain is a useful starting point and will guide further evaluation. For example, right lower ...

Ultrasound is essential for differential diagnosis in patients with left lower quadrant (LLQ) abdominal pain. Causes of LLQ pain are variable such as diverticulitis, colitis, appendagitis, and rarely appendicitis (in situs inversus). Colon cancer also an occasional cause. findings colon irregular wall thickening loss stratification luminal narrowing. We report a case descending hepatic metastas...