Background: The most common serious cause of lower right abdominal pain in children that requires urgent evaluation and management is appendicitis and its related complications (e.g., perforation). This is frequently accompanied by fever and other systemic signs of inflammation. Our case presented with vague right hip/right lower abdominal pain, that was not convincing for appendicitis, however, the diagnostic workup led to the need to exclude appendicitis by laparoscopy, and the final diagnosis was sacroiliac osteomyelitis and septic arthritis.
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Suliman et al. (2024) studied this question.
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