A member asked:

Is there always some pain when touched or rebound tenderness in appendicitis? or does that come later, when it's already progressed?

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Dr. Herbert Hoover answered

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Not always: The physical signs and symptoms of appendicitis depend upon the location of the appendix. A small percentage of humans have a "retrocecal" appendix meaning it is buried up under the cecum with the tip up in the right upper abdomen, often under the liver . Tenderness and "rebound" may not be present, even with well-advanced appendicitis, as the peritoneum is not irritated.

Answered 7/11/2016

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