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JAMA Surgery Clinical Challenge
May 2014

Right Lower Quadrant Pain During Pregnancy

Author Affiliations
  • 1Department of Minimally Invasive Bariatric and General Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Surg. 2014;149(5):489-490. doi:10.1001/jamasurg.2013.1686

A 26-year-old woman in the 11th week of gestation with a history of nephrolithiasis was admitted to our medical center reporting of right lower quadrant pain, loss of appetite, nausea, and vomiting occurring over 5 days. The pain was initially transient and colicky, but had increased in intensity and became constant. She denied having fevers, chills, or change in bowel habits. During examination, the patient had significant focal tenderness to palpation, but displayed no peritoneal signs. Her laboratory results were unremarkable, without any findings for leukocytosis or bandemia.

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