The Teaching Point

An appendicolith in the setting of left flank pain and no evidence of urinary stones or obstruction may be a sign of early appendicitis.






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An unusual presentation of early appendicitis with left sided flank pain

Free full text article: An unusual presentation of early appendicitis with left sided flank pain

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.






References



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1. acute appendicitis

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3. flank pain

4. left flank pain

5. appendicolith

6. fecolith

7. ruptured appendicitis


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