Pelvic appendicitis
Pelvic appendicitis can present with:
- an absence of abdominal wall rigidity and tenderness
- tenderness in the rectovesical pouch and Pouch of Douglas on rectal examination
- spasm of psoas muscle on right-hand-side
- diarrhoea due to contact of appendix with rectum
- frequency of micturition due to contact of appendix with bladder
- hypogastric pain on flexing and internally rotating the hip - due to contact of inflamed appendix with obturator internus muscle
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