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Images in medicine
An unusually long retrocaecal appendix
  1. Isaac Kim,
  2. Abhishek Chitnis,
  3. Shariq Sabri,
  4. Karim Muhammad
  1. Department of General Surgery, Tameside Hospital NHS Foundation Trust, Ashton-Under-Lyne, UK
  1. Correspondence to Dr Abhishek Chitnis, Department of General Surgery, Tameside Hospital NHS Foundation Trust, Fountain Street, Ashton-under-Lyne OL6 9RW, UK; abhishekchitnis{at}icloud.com

http://dx.doi.org/10.1136/postgradmedj-2016-134165

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    Case report

    An 11-year-old boy presented with a 1-day history of a generalised lower abdominal pain extending from the right to the left iliac fossa. His symptoms were associated with nausea, anorexia and a mild fever.

    On physical examination, deep tenderness and guarding were elicited at McBurney's point, as well as the hypogastrium and the left iliac fossa. Haematological investigations revealed normal ranges of both white cell count and C reactive …

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    Footnotes

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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