Appendiceal atresia causing recurrent right lower quadrant pain without inflammation.

An 11-year-old girl presented with recurrent right lower quadrant (RLQ) pain. There was no evidence of inflammation and appendiceal swelling except at the initial onset. The repeated presence of a small amount of ascites at the time of abdominal pain triggered the performance of exploratory laparoscopy. Intraoperative examination revealed a non-inflamed, unswollen appendix with a cord-like atretic segment at the middle part and an appendectomy was performed. At 46 months follow-up, she remained asymptomatic. In patients with recurrent RLQ pain of unknown cause, it is necessary to consider diagnostic laparoscopy while keeping appendiceal atresia in mind as a differential diagnosis. © 2023. Japanese Society of Gastroenterology.

Citation

Mika Murayama, Mikihiro Inoue, Atsuki Naoe, Toshihiro Yasui, Tatsuya Suzuki. Appendiceal atresia causing recurrent right lower quadrant pain without inflammation. Clinical journal of gastroenterology. 2023 Oct;16(5):685-688

Mesh Tags

PMID: 37278903

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