31st July 2023

A 26-year-old female presents with acute onset right iliac fossa pain

A 26-year-old female presents with acute onset right iliac fossa pain. On examination, there is tenderness in the right iliac fossa, though the focus is more medial than at McBurney’s point. There is no renal angle tenderness. During abdominal exploration, the appendix appears normal and not inflamed. Of the following, which is the most likely alternative diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.