Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • abdominal pain
  • anorexia
  • right lower quadrant tenderness

Other diagnostic factors

  • adolescence or early adulthood
  • nausea
  • fever
  • diminished bowel sounds
  • tachycardia
  • fetor
  • vomiting
  • Rovsing's sign
  • psoas sign
  • obturator sign

Risk factors

  • <6 months of breastfeeding
  • low dietary fibre
  • improved personal hygiene
  • smoking

Diagnostic investigations

1st investigations to order

  • FBC
  • abdominal and pelvic CT scan
  • urinary pregnancy test
Full details

Investigations to consider

  • abdominal ultrasound
  • urinalysis
  • abdominal and pelvic MRI in pregnancy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Dileep N. Lobo

Professor of Gastrointestinal Surgery

National Institute for Health Research, Nottingham Digestive Diseases Biomedical Research Unit Nottingham University Hospitals and University of Nottingham, Queen's Medical Centre

Nottingham

UK

Disclosures

DNL declares that he has no competing interests. DNL is the author of an article cited in the topic.

Professor Dileep N. Lobo would like to gratefully acknowledge Dr Nasim Ahmed, a previous contributor to this topic. NA declares that he has no competing interests.

Peer reviewers VIEW ALL

General Surgery

Jersey Shore Medical Center

Neptune

NJ

Disclosures

JMD declares that he has no competing interests.

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