ID 83839
Author
Nakatani, Hajime Department of Surgery,Kubokawa Hospital
Hamada, Shinichi Department of Surgery,Kubokawa Hospital
Okanoue, Toyotake Department of Surgery,Kubokawa Hospital
Kawamura, Akihiro Department of Surgery,Kubokawa Hospital
Inoue, Yuichiro Department of Urology,Kubokawa Hospital
Yamamoto, Shinya Department of Anesthesiology, Kubokawa Hospital
Chikai, Takashi Department of Anesthesiology, Kubokawa Hospital
Hiroi, Makoto Laboratory of Diagnostic Pathology,Kochi Medical School, Kochi University
Hanazaki, Kazuhiro Department of Surgery, Kochi Medical School, Kochi University
Keywords
right lower quadrant pain
acute appendicitis
epididymitis
acute abdomen
Content Type
Journal Article
Description
Acute appendicitis often presents as right lower quadrant (RLQ) pain, severe
tenderness at the point of McBurny or Lanz, and Blumberg’s sign. Scrotal events with appendicitis
are very rare. In our case, a 63-year-old Japanese man presented with severe
RLQ pain and high fever. Physical examination revealed severe tenderness (including
both points of McBurny and Lanz) and Blumberg’s sign. The scrotum was slightly swollen
and showed local heat with severe testicular pain. Abdominal computed tomography
revealed ascites in a pelvic space and the right side of the spermatic cord was swollen.
Emergency operation was performed and the final diagnosis was catarrhal appendicitis
and acute epididymitis. This is the first report of acute appendicitis concomitant with
acute epididymitis.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
58
Issue
3-4
Start Page
252
End Page
254
Sort Key
252
Published Date
2011-08
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
FullText File
language
eng