What is retrocaecal appendicitis?

The clinical findings of appendicitis can vary depending upon the position of the appendix. Sometimes the appendix can be found behind the cecum (beginning of the large intestine or colon), it is termed as retrocecal appendix. The appendicitis of the retrocecal appendix is termed as Retrocaecal appendicitis. It is a type of appendicitis that presents with different clinical features when compared to classical appendicitis. The usual tenderness associated with appendicitis is normally not presented clearly in this case because the cecum masks the tenderness of the appendix. 

So usually if a patient presents with pain in the right lower back above the hip bone (not in the central region), fever for long hours, nausea and anorexia, then an experienced gastro surgeon would definitely suspect the presence of appendicitis which may possibly be masked due to the retrocecal position of the appendix.

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