The purpose of this exhibit is: 1- To broaden the differential diagnosis of right lower quadrant abdominal pain on the emergency setting. 2- To demonstrate the ability of MDCT on the depiction of a wide range of conditions. 3- To review examples of uncommon causes of right lower quadrant pain, and also common causes with an atypical presetation.
Epidemiology of right lower quadrant pain Cases presentations and brief discussion: -Gastrointestinal Ileal, cecal and appendiceal acute diverticulitis, apendagitis of appendix and cecum, ileal limphoma, foreign bodies, bezoars, ruptured cecal cancer, carcinoid, endometriosis and mucocele on appendix, Crohn's disease, inguinal hernias and intussuception. -Genitourinay Ureteral calculi, ovarian torsion, ovarian teratoma, ruptured ectopic pregnancy, blader herniation through femoral hernia.
The major teaching points are: 1-Abdominal pain, specialy in the right lower quadrant, is a diagnostic challenge in the emergency setting due to a great number of possible differential diagnosis. 2-MDCT has emerged as the modality choice to evaluate acute abdominal pain. 3-Multiplanar reconstructions may be very usefull to depict and diagnose a broad range of pathologies.
Radiological Society of North America 2009 Scientific Assembly and Annual Meeting; 11/2009