# Don't Forget About New Pathology

## TL;DR

This paper discusses the diagnostic challenges of appendicitis in patients with a history of prior surgeries.

## Contribution

The paper highlights a specific case emphasizing the need for a comprehensive approach in diagnosing appendicitis after surgical interventions.

## Key findings

- A 59-year-old male with prior surgeries presented with right iliac fossa pain.
- The case illustrates the difficulty in diagnosing appendicitis following unrelated surgical procedures.

## Abstract

Appendicitis is an inflammatory condition of the appendix. Patients typically present with migratory right iliac fossa pain, reduced appetite, fever, nausea and vomiting. Despite its characteristic presentation, diagnosis remains challenging, particularly in cases where there has been unrelated prior surgery which may obscure the clinical picture. We present a case of a 59-year-old male who had three previous needle aspirations following a pelvic and inguinal lymph node dissection for metastatic melanoma subsequently presenting with a further episode of right iliac fossa pain. This case underscores the diagnostic challenges that may arise in individuals with a history of surgical interventions, emphasizing the importance of a comprehensive approach to ensure the timely and accurate identification of appendicitis.