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Right Iliac Fossa Pain in Elderly: Always Appendicitis?
Vol. 14 No. 2 : 2019
Quiz
NAZARI F, HAYATI F, AZIZAN N, TEH YG, MOHD DAUD MN





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QUESTION

A 76-year-old male, previously well, presented with acute, non-migratory right iliac fossa pain for a week. He denied per rectal bleeding, production of mucus, or constitutional symptoms but complained of constipation since 6 months ago. Upon assessment, he was septic with localized guarding at the right iliac fossa. A contrast enhanced computed tomography was obtained (Figure 1a and 1b). Spot the radiological diagnosis and briefly discuss the sequelae of this condition?

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