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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.
How R, Wikiel KJ, Hamad GG. Right Lower Quadrant Pain During Pregnancy. JAMA Surg. 2014;149(5):489-490. doi:10.1001/jamasurg.2013.1686