A 25-year-old man presented with abdominal pain. The patient was in his usual state of health until three months prior to admission, when diffuse abdominal pain developed, most severe in the epigastria. He reported a sharp, constant pain usually unrelated to eating. Upper endoscopy was performed several times and revealed no significant finding. abdominal pain was progressive and fever, night sweating and weight loss was added since one month before admission. The abdomen was soft and a bulging mass was palpated in mid-abdomen. There was no peripheral lymphadenopathy. The all remainder of the examination was normal. Abdominopelvic CT scan performed (Figuer 1, 2).

A 14-year-old single urban girl was referred to the emergency department of Shahid Mohammadi Hospital, Bandar Abbas, Hormozgan Province, Iran, with pain in epigastric and periumbilical regions. She had a history of abdominal pain and frequent vomiting that began two months ago...

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Background: The question of whether chronic appendicitis can give rise to chronic abdominal pain has always been a matter of controversy. The main purpose of this study was to find a means of diagnosing chronic inflammation of appendix through clinical and histopathological procedures.Methods: A group of 18 patients complaining of frequent pain attacks in their RLQs were involved in our study. The patients' history, clinical and lab findings were closely evaluated. All the patients underwent appendectomy and all their appendices were histopathologically examined. Chronic appendicitis was ruled in with a positive pathology report confirming chronic inflammation. All the patients referred for their follow-up visits in a period of one year.Results: Histopathology reports confirmed chronic appendicitis in 16 of the cases (88.8%). From them 93.7% expressed complete pain relief in the follow-up visits. 62.5% of our patients were women and the rest were men.The patients were categorized into three age groups as those less than 15 years (18.75%), between 15 and 25 years (31.25%) and older than 25 (50%).Conclusion: It seems as if chronic appendicitis could be blamed for recurrent abdominal pain attacks. The disease is easily cured via appendectomy.