Cover image of the article: Acute Appendicitis Presenting as Unusual Left Upper Quadrant Pain

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Acute Appendicitis Presenting as Unusual Left Upper Quadrant Pain

Authors

Tsung-Ju Chuang1, Chun-Wen Chen2,*, Hsin-Yuan Lin3, Wen-Hsiu Hsu4, Shou-Cheng Wang1, Chuan-Chou Tu1
1Department of Internal Medicine, Armed Forces Taichung General Hospital, Taichung, Taiwan
2Department of Radiology, Armed Forces Taichung General Hospital, Taichung, Taiwan
3Department of Surgery, Armed Forces Taichung General Hospital, Taichung, Taiwan
4Department of Gastroenterology & Hepatology, Armed Forces Taichung General Hospital, Taichung, Taiwan
*Corresponding Author: Department of Radiology, Armed Forces Taichung General Hospital, No.348, Sec. 2, Zhongshan Rd., Taiping Dist., Taichung City 411, Taiwan., mascara.tw@gmail.com. Tel: +886-423934191#7525341. Fax: +886-423933379. Email: mascara.tw@gmail.com

Iranian Journal of Radiology:Vol. 10, issue 3; 156-159
Published online:Aug 29, 2013
Article type:Case Report
Received:May 12, 2012
Accepted:May 27, 2013
How to Cite:Chuang T, Chen C, Lin H, Hsu W, Wang S, et al. Acute Appendicitis Presenting as Unusual Left Upper Quadrant Pain. I J Radiol. 2013;10(3):. doi: https://doi.org/10.5812/iranjradiol.6326

Abstract

Appendicitis is the most common abdominal disease that requires surgery in the emergency ward. It usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (LUQ) pain due to congenital anatomical abnormalities of the intestine. We report a patient who complained of persistent LUQ abdominal pain and was finally diagnosed by computed tomography (CT) as congenital intestinal malrotation complicated with acute appendicitis. It is important to include acute appendicitis in the differential diagnosis of patients who complain of LUQ abdominal pain. Abdominal CT can provide significant information that is useful in preoperative diagnosis and determination of proper treatment.

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© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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