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Prior to the use of the term appendicitis, it was described with terms including perityphlitis, typhlitis, paratyphlitis, and extra-peritoneal abscess of the right iliac fossa. [101] The term "appendicitis" was coined by the American physician Reginald Heber Fitz in 1886, leading to standardized diagnosis and treatment, including Charles ...
The iliac fossa is bounded above by the iliac crest, and below by the arcuate line. It is bordered in front and behind by the anterior and posterior borders of the ilium. The iliac fossa gives origin to the iliacus muscle. [1] The obturator nerve passes around the iliac fossa. [2] It is perforated at its inner part by a nutrient canal.
In case of appendicitis, signs such as fever, positive psoas sign, migration of pain from umbilicus to the right iliac fossa increases the likelihood of the disease; while signs such as vomiting before the pain reduces its likelihood to occur.
In supine patients, infected fluid from the right iliac fossa may ascend in the paracolic gutter to enter the lesser sac. In patients nursed in a sitting position, fluid from the stomach, duodenum, or gallbladder may run down the paracolic gutter to collect in the right iliac fossa or pelvis. This may mimic acute appendicitis or form a pelvic ...
Pelvic abscess is a collection of pus in the pelvis, typically occurring following lower abdominal surgical procedures, or as a complication of pelvic inflammatory disease (PID), appendicitis, or lower genital tract infections. [1] Signs and symptoms include a high fever, pelvic mass, vaginal bleeding or discharge, and lower abdominal pain. [1]
Rovsing's sign, named after the Danish surgeon Niels Thorkild Rovsing (1862–1927), [1] is a sign of appendicitis.If palpation of the left lower quadrant of a person's abdomen increases the pain felt in the right lower quadrant, the patient is said to have a positive Rovsing's sign and may have appendicitis.
The psoas sign, also known as Cope's sign (or Cope's psoas test [1]) or Obraztsova's sign, [2] is a medical sign that indicates irritation to the iliopsoas group of hip flexors in the abdomen, and consequently indicates that the inflamed appendix is retrocaecal in orientation (as the iliopsoas muscle is retroperitoneal).
The left lower quadrant includes the left iliac fossa and half of the flank. The equivalent in other animals is left posterior quadrant. The left upper quadrant extends from the umbilical plane to the left ribcage. This is the left anterior quadrant in other animals. The right upper quadrant extends from umbilical plane to the right ribcage.