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Evaluating the Patient with Right Lower Quadrant Pain.

Neel B Patel¹, Daniel R Wenzke²

¹Jupiter Imaging Associates, Sheridan Healthcorp, Jupiter, FL, USA.

Radiologic Clinics of North America

|November 4, 2015

Summary

This review covers imaging for acute appendicitis and other causes of right lower quadrant pain. It highlights key findings for appendicitis and its common differentials in emergency imaging.

Keywords:

Abdominal pain Appendicitis Diverticulitis Epiploic appendagitis Inflammatory bowel disease Meckel’s diverticulum Neutropenic colitis Omental infarct

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Area of Science:

Radiology
Emergency Medicine
Gastroenterology

Background:

Right lower quadrant pain is a frequent emergency department presentation.
Accurate diagnosis is crucial for timely and appropriate patient management.

Purpose of the Study:

To review imaging findings of acute appendicitis.
To discuss major differential diagnoses presenting as right lower quadrant pain.

Main Methods:

Review of imaging findings in acute appendicitis.
Discussion of differential diagnoses based on imaging characteristics.

Main Results:

Key imaging features of acute appendicitis are presented.
Differential diagnoses including mesenteric adenitis, Meckel diverticulum, and others are detailed.

Conclusions:

Imaging plays a vital role in diagnosing acute appendicitis.
Recognizing imaging patterns of differential diagnoses improves diagnostic accuracy for right lower quadrant pain.