Presentation: Patient has been experiencing pain in the right lower quadrant for 11 past years.
Treatment history: Her appendix was removed, without relief of pain. Continued complaints of pain diagnosed as adhesions, inflamed ovary, and nervousness.
Physician evaluation: X-ray and blood studies were normal. Examination revealed tenderness involving the right lower abdomen and left upper chest and a ¾-inch shortening of the left leg. Segmental tenderness in T2, T3, T4, T11, T12, and L1.
Resolution: 4 infiltrations of the nerve trunks supplying the right lower abdomen, accompanied by diathermy and a heel lift, terminated the pain.