Anterior chest discomfort and right neck pain in a young woman 2 days after an appendectomy.

摘要

A 27-YEAR-OLD, 165-cm, 64-kg woman presented to he authors' institution for evaluation of a 1-day history of nausea and bilateral lower quadrant pain (right > left). The white blood cell count was elevated (13,700 cells/muL), and acute appendicitis was suspected. An abdominal computed tomography (CT) scan was performed that confirmed this diagnosis. The patient had a past medical history of temporomandibular joint (TMJ) disease and tobacco abuse. She had undergone several previous interventions for ovarian cysts and recurrent endometriosis that were complicated by postoperative nausea and vomiting.