Appendicitis presenting as low back pain: a case report

Clinical diagnosis of appendicitis is straightforward for patients presenting with classic signs and symptoms of right lower quadrant a abdominal pain and tenderness, nausea, vomiting, anorexia and fever. However, several unusual presentations have already been reported such as left sided abdominal pain, chest pain, groin pain, and thigh pain. A case of ruptured appendicitis in a 50 year old female with low back pain was described. Diagnosis was made after computed tomography of whole abdomen was performed. This case report expands our current knowledge on atypical presentations of appendicitis and emphasises the need for appropriate evaluation of patients in the Emergency Department for such surgical emergency to avoid delay in management.