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Haaga, J.R., Dogra, V.S., Forsting, M., Gilkeson, R.C., Kwon Ha, H. and Sundaram, M. (2009) CT and MRI of the Whole Body. 5th Edition, Mosby, Philadelphia, p. 1349.

has been cited by the following article:

• TITLE: Huge Atypical Appendicitis in a 14-Year-Old Male: A Case Report

  AUTHORS: Ahmad Rezaee Azandaryani, Mohamadmehdi Eftekharian, Mehdi Mousavi, Leili Ebrahimi

  KEYWORDS: Huge Appendicitis, Ultrasonography, Noncompressible

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.5 No.11, November 3, 2016

  ABSTRACT: Normal appendix is 4 to 5 mm in diameter and approximately 8 cm in length; although it may be up to 30 cm long. Appendicitis is the inflammation of the appendix and is the most common cause of acute abdominal pain. Right lower quadrant pain, nausea, vomiting and fever are common signs of appendicitis but 20% to 33% of patients with suspected appendicitis present with atypical features. Case presentation: we presented a 14-year-old boy with abdominal pain predominantly in hypogastric area and LLQ (Left Lower Quadrant) that after ultrasound and CT study a large appendix 22 mm in diameter and 17 cm in length was detected. Conclusion: appendix position and size is very variable and appendicitis could be presented by different clinical features. In this case, the patient was presented with LLQ pain rather than RLQ (Right Lower Quadrant) pain due to its large size and elongation to the left side.