Playlist 'Long case' by Gregory Makris

What are the common causes of right lower quadrant pain In general?

Acute appendicitis, ovarian torsion (in females), diverticulitis (usually left sided), epiploic appendagitis.

What should come to your mind as a cause of right lower quadrant abdominal pain in this 30-year-old male patient with recent history of appendectomy?

One should think of inflamed appendiceal stump.

Presentation

Negative appendectomy 45 days earlier. Now presenting with severe right lower quadrant pain and abdominal distention.

Age:	30 year old
Gender:	Male

Radiopaedia.org