However, the presentation is not always classical and a high index of suspicion is necessary. Affects any age group but is rare in infants, most common in adolescence and young adult years. Generally occurs from obstruction of the appendiceal lumen by lymphoid hyperplasia or a fecalith. Clinical Presentation History.
Classic history is that of periumbilical or epigastric pain that migrates to right lower quadrant.
Anorexia, nausea, and vomiting occur after the onset of pain. Anorexia is less likely to be present in children. Presentation is more likely to be atypical in very young, very old, and pregnant patients. Maintain a high index of suspicion in any patient with abdominal pain. Low-grade temperature is common.