Unlikely: Although uncommon, chronic pain from undiagnosed and or previously ruptured acute appendicitis can occur. However, an abdominal ct scan is a very effective test to exclude this possibility. In the setting of 2 prior ct scans for right lower quadrant andominal pain, it's extemely unlikely that the appendix would not show evidence of appendicitis or prior rupture to explain the pain.
Answered 12/10/2013
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