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Previous Volume 339:1481 November 12, 1998 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The diagnosis of acute appendicitis is often, but not always, straightforward. Imaging studies, such as ultrasonography and computed tomography, may be helpful. When other diagnoses seem more likely, colonoscopy may be performed,^1,2 although acute appendicitis may occur as a complication of colonoscopy.^3,4 I describe a patient in whom appendicitis was diagnosed by colonoscopy.

A 42-year-old man was evaluated in the emergency department because of the sudden onset of poorly localized, right-sided abdominal pain with nausea and vomiting. He was afebrile, and there was no change in bowel motion. He had a history of intermittent hematochezia and had . . . [Full Text of this Article]

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