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Atypical acute appendicitis
  1. S Sinha,
  2. M C Salter
  1. Southend University Hospital NHS Foundation Trust, Southend, Essex, UK
  1. Correspondence to Mr S Sinha, 27 Aylmer Road, London N2 0BS, UK; sid261{at}hotmail.com

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A 12-year-old boy presented to the emergency department with a 6-day history of vomiting and left iliac fossa (LIF) pain. Physical examination revealed isolated LIF percussion tenderness. Blood tests showed an elevated white blood cell count and C-reactive protein. Abdominal …

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