K-sign in retrocaecal appendicitis: a case series.

Cases Journal
Imtiaz Wani

Abstract

Variations in position of the vermiform appendix considerably changes clinical findings. Retrocaecal appendicitis presents with slightly different clinical features from those of classical appendicitis associated with a normally sited appendix. K-sign looks for the presence of tenderness on posterior abdominal wall in the retrocaecal and paracolic appendicitis. This is the first case report of this kind in the literature. The K-sign has been named, as a mark of respect, after the region of origin of this sign, Kashmir, so called as "Kashmir Sign". The sign being present in view of inflamed appendix crossing above its non palpable position above iliac crest on the posterior abdominal wall and the tenderness is by irritation of posterior peritoneum. The author is reporting a case series of four patients in whom a K-sign, a clinical sign, was elicited and found positive on the posterior abdominal wall for presence of tenderness in a specific area bound by the 12th rib superiorly, spine medially, lateral margin of posterior abdominal wall laterally and iliac crest inferiorly and was found to be present in three retrocaecal and one paracolic appendicitis. Each case had tenderness in this specific area on posterior abdominal wall. Al...Continue Reading

References

Jun 1, 1991·Journal of Medical Genetics·A GedeonG Turner
Aug 1, 1989·The British Journal of Surgery·J Hoffmann, O O Rasmussen
Apr 1, 1981·American Journal of Surgery·W A WilliamsonL F Williams
Feb 24, 1996·BMJ : British Medical Journal·M Davenport
Nov 20, 2004·ANZ Journal of Surgery·Indra A J Nordstrand, Lakshman K Jayasekera
Jul 28, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·T DosiosE Papalambros
Nov 2, 2005·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·V KalliakmanisC Tsigris
Sep 7, 2006·Journal of Computer Assisted Tomography·Sooah KimAnd Soon Jin Lee
Dec 18, 2007·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·D M FanningA L Leahy

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BETA
X-ray

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