Have had a six year old girl with right hip pain and limp(appendicitis), and a nine year old girl with anterior right thigh pain(pyelonephritis. _________________________________________________ Michael L. Webster, MD, FAAP (Mike) Erie, PA > -----Original Message----- > From: [mailto:]On Behalf Of > Robert Mauro > Sent: Wednesday, August 04, 1999 12:22 AM > To: > Subject: Re: buttock pain > > > I've seen acute appendicitis present in a 10 year-old girl as > anterior left > thigh pain! It took several days (after an ortho consult and a bone scan) > for the pain to finally land in the abdomen and the diagnosis of ruptured > appy made. > > (Yes, I was convinced that the thigh pain, which was associated with > vomiting, was the beginning of her acute appy and not an > unrelated problem. > Right now I can't remember all the details.) > > Of all the challenging cases I have seen, appendicitis has been the > underlying diagnosis in a plurality (not, of course, in a > majority). I have > great respect for the many ways in which appendicitis can present in > children. > > Bob Mauro, MD > Greenwood Pediatrics > Littleton, CO > > -----Original Message----- > From: David Tinkelman <> > To: <> > Date: Tuesday, August 03, 1999 3:35 PM > Subject: buttock pain > > > >I saw, last week, a seven year old boy who was complaining of pain in > >his right buttock after falling off of a bicycle... > > He had a hot, not yet ruptured appendix removed. (Work up took 16 > >hours with all the consultations from ortho and surgery and radiology) > >Has anyone seen an appendix present like this, with pain referred to > >the back of the leg area? > > > > > discussion group. >