{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,7,23]],"date-time":"2023-07-23T01:40:31Z","timestamp":1690076431003},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"7-8","license":[{"start":{"date-parts":[[2021,12,4]],"date-time":"2021-12-04T00:00:00Z","timestamp":1638576000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Right lower quadrant abdominal pain is a common presentation to the Emergency Department. While appendicitis is a frequently diagnosed pathology associated with this complaint, there are multiple, well-documented alternatives that must be considered. The authors present a unique case of a 20\u2009year old active duty male who presented with 3\u2009days of acutely worsening right lower quadrant abdominal pain, right flank pain, and anorexia. Following a detailed work-up, computed tomography and magnetic resonance imaging (MRI) demonstrated a bland thrombus within the inferior vena cava (IVC) secondary to a vascular web. This case highlights the difficulty in astutely diagnosing appendicitis utilizing clinical examination and scoring metrics. While IVC thrombosis is a rare phenomenon, it should be considered in the emergency physician\u2019s differential for right lower quadrant abdominal pain, particularly when additional nonspecific symptoms are present.<\/jats:p>","DOI":"10.1093\/milmed\/usab487","type":"journal-article","created":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T09:31:16Z","timestamp":1638696676000},"page":"e2745-e2749","source":"Crossref","is-referenced-by-count":0,"title":["Inferior Vena Cava Thrombosis, Appendicitis Mimic"],"prefix":"10.1093","volume":"188","author":[{"given":"Ryan M","family":"Kaylor","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Naval Medical Center , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph A","family":"Gehrz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Naval Medical Center , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex A","family":"Gutweiler","sequence":"additional","affiliation":[{"name":"Department of Radiology, Naval Medical Center , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James S","family":"Cortes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Naval Medical Center , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,12,4]]},"reference":[{"issue":"4","key":"2023072301083394800_R1","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.2214\/ajr.184.4.01841136","article-title":"Helical CT evaluation of acute right lower quadrant pain: part I, common mimics of appendicitis","volume":"184","author":"Yu","year":"2005","journal-title":"AJR Am J 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