Author(s)

Ahmad Rezaee Azandaryani¹, Mohamadmehdi Eftekharian¹, Mehdi Mousavi², Leili Ebrahimi^2*

¹Radiology Department, Hamedan University of Medical Sciences, Beasat Hospital, Hamedan, Iran.
²Cardiology Department, Alborz University of Medical Sciences, Shahid Rajaei Hospital, Karaj, Iran.

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.

Huge Appendicitis, Ultrasonography, Noncompressible

Azandaryani, A. , Eftekharian, M. , Mousavi, M. and Ebrahimi, L. (2016) Huge Atypical Appendicitis in a 14-Year-Old Male: A Case Report. Case Reports in Clinical Medicine, 5, 426-430. doi: 10.4236/crcm.2016.511059.