Acute Appendicitis: Incorrect

Acute appendicitis may also be considered in the differential diagnosis of RUQ pain. This is especially true if the patient is pregnant because the appendix is displaced higher in the abdomen as the uterus enlarges. A retrocecal appendicitis may also present as RUQ pain. A patient with an acute appendicitis usually has more GI symptoms however such as nausea, vomiting, or anorexia. An atypical presentation of acute appendicitis should be considered if the work-up for biliary disease is unyielding.

It is highly unlikely that Mrs. Jones has an atypical presentation of appendicitis. The history, physical findings, and laboratory results support a biliary etiology for her RUQ pain.

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