alexa Intercostal Neuritis Masquerading as Acute Appendicitis
ISSN: 2165-7548

Emergency Medicine: Open Access
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Case Report

Intercostal Neuritis Masquerading as Acute Appendicitis: A Case Report

Benjamin Lindquist1* and Laleh Gharahbaghian2

1 Stanford/Kaiser Emergency Medicine Residency Program, Alway Building, M121, 300 Pasteur Dr, Stanford, CA 94305, USA

2Clinical Assistant Professor, Director, Emergency Ultrasound Program and Fellowship Stanford University Medical Center, USA

*Corresponding Author:
Benjamin Lindquist
Stanford University Medical Center
Alway Building, M121
300 Pasteur Dr, Stanford
CA 94305, USA
Tel: 650-725-9445
E-mail: [email protected]

Received Date: April 29, 2014; Accepted Date: June 10, 2014; Published Date: June 13, 2014

Citation: Lindquist B, Gharahbaghian L (2014) Intercostal Neuritis Masquerading as Acute Appendicitis: A Case Report. Emergency Med 4:194. doi:10.4172/2165-7548.1000194

Copyright: © 2014 Lindquist, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Abdominal pain is a common complaint among Emergency Department (ED) patients and accounts for approximately 10% of all visits. While some presentations are classic, making diagnosis and treatment expeditious, other presentations require time-intensive work-ups that yield no etiology in nearly 25%. The Emergency Physician (EP) is tasked to maintain a broad differential while ruling out surgical conditions such as acute appendicitis. Within this differential is abdominal wall pathology. We present a case of a 28 year-old female who presented with right lower quadrant pain, was diagnosed with intercostal neuritis and discharged with a non-steroidal anti-inflammatory drug (NSAID) and appendicitis precautions. Ultimately, timely diagnosis of these less emergent pathologies can improve patient satisfaction, prevent unnecessary tests and provide targeted treatment modalities.


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