Abstract
IntroductionClinical signs have been always of significant value in the diagnosis of appendicitis. Specific clinical signs are elicited coupled with routine laboratory and radiological investigations in making the diagnosis of acute appendicitis. L-sign in appendicitis is similar to the well known Rovsing’s sign and is based on the same principle but is elicited on right side on the lateral abdominal wall.Case presentationA case series of 3 patients is presented here who had the L-sign in acute appendicitis. All had Rovsing’s sign positive and the histopathological evidence of appendicitis.ConclusionL-sign in appendicitis is similar to the Rovsing’s sign in diagnosis of appendicitis but elicited on right side.
Highlights
Clinical signs have been always of significant value in the diagnosis of appendicitis
Starting from upper flank in a line which is perpendicular to the line passing through highest point of iliac crest, an index or middle finger tap is given on the lateral abdomen wall till the L-point reached, patients complains of localized tenderness in right iliac fossa, more than at the L-point and this localized tenderness felt in right iliac fossa after applying tap on L-point is called as L-sign
Diagnostic accuracy achieved by history and physical examination had remained at about 80 percent [1]
Summary
Clinical signs have been always of significant value in the diagnosis of appendicitis. Specific clinical signs are elicited coupled with routine laboratory and radiological investigations in making the diagnosis of acute appendicitis. L-sign in appendicitis is similar to the well known Rovsing’s sign and is based on the same principle but is elicited on right side on the lateral abdominal wall. Case presentation: A case series of 3 patients is presented here who had the L-sign in acute appendicitis. All had Rovsing’s sign positive and the histopathological evidence of appendicitis. Conclusion: L-sign in appendicitis is similar to the Rovsing’s sign in diagnosis of appendicitis but elicited on right side
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