Clinical Case Database / Category: Patient Management

Rare manifestations of right iliac fossa pain

Publication details

Mouhamed El-sayad, Norzeihan Jan Bappu
Foundation Years Journal, volume 3, issue 10, p.44 (123Doc Education, London, December 2009)

Abstract

Diagnosis and management of right iliac fossa pain can be very challenging. It presents in approximately 50% of all acute abdomen cases, and although appendicitis raises the fist suspicion during initial assessment, the preoperative diagnosis is seldom accurate. Cross-referrals may occur between specialties and unexpected pathology may sometimes only be encountered as operative or histo-pathological finding. We present two rare entities of right iliac fossa pain, which signify the importance of clinical assessment and differential diagnoses in order to ensure correct diagnosis and management are achieved.

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Authors

Mouhamed El-sayad

Mouhamed El-sayad

Norzeihan Jan Bappu

Norzeihan Jan Bappu

References

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2.  Burt BM, Javid PJ, Ferzoco SJ (2005) Stump appendicitis in a patient with prior appendicetomy. Dig. Dis. Sci, 50: 2163–2164.

3.  Jalland WH (1904, May) Appendicitis and Ovarian Cyst. Br Med J, 1(2265): 1287.

4.  Ortega-Deballon P, et al. (2008, July) Usefulness of laboratory data in the management of right iliac fossa pain in adults. Diseases of the Colon & Rectum, 51(7): 1093–1099.

5.  Sauerland S, et al. (2006) Laparoscopy for abdominal emergencies. Evidence-based guidelines of the European Association for Endoscopic Surgery, 20: 14–29.

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7.  Hermann U, Locher G, Goldhirsch A (1987) Sonographic patterns of ovarian tumors: prediction of malignancy. Obstet Gynecol, 69: 777-781.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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