Medical Must-See: Mid-operation diagnosis reveals different kettle of fish

The patient presented with a two-day history of intermittent right-sided lower abdominal pain.

Doctors were confident this patient’s abdominal pain was appendicitis until they opened him up to see a normal and healthy appendix.

The Nepalese patient, 53, presented with a two-day history of intermittent right-sided lower abdominal pain, which became more severe in the preceding six hours.

His pain began in the periumbilical region before moving to the right iliac fossa, with tenderness, rebound tenderness, and a positive Rovsing’s sign.

The man reported nausea without vomiting, with no fever, urinary complaints or other significant history.