An unusual manifestation of acute appendicitis with left flank pain

Authors

  • Roland Talanow, MD, PhD

DOI:

https://doi.org/10.3941/jrcr.v2i1.27

Keywords:

acute appendicitis, ruptured appendicitis, left flank pain, flank pain, appendicolith

Abstract

The author presents a case with an unusual presentation of early appendicitis. The patient presented initially with left sided flank pain. Workup for nephrolithiasis, including non-contrast CT of the abdomen and pelvis was negative for renal stones or hydronephrosis. After discharge, the patient presented one week later in the ED with right lower quadrant pain. Contrast enhanced CT of the abdomen revealed perforated appendicitis.

Published

2008-08-10

Issue

Section

Emergency Radiology