Case Records of the Massachusetts General Hospital: Case 28-1991

The patient was well until 36 hours earlier, when she experienced the onset of an insidious, throbbing "ache" in the right lower quadrant of the abdomen, accompanied by anorexia, nausea, and one episode of vomiting of a small amount of bilious liquid without blood. There was no history of vaginal bleeding at any time since the hysterectomy, dysuria, hematuria, urinary frequency, dyspareunia, cough, sputum production, diarrhea, constipation, hematochezia, headache, or weight loss.