L-sign in appendicitis: a case series

INTRODUCTION: Clinical signs have been always of significant value in the diagnosis of appendicitis. Specific clinical signs are elicited coupled with routine laboratory and radiological investigations in making the diagnosis of acute appendicitis. L-sign in appendicitis is similar to the well known Rovsing’s sign and is based on the same principle but is elicited on right side on the lateral abdominal wall. CASE PRESENTATION: A case series of 3 patients is presented here who had the L-sign in acute appendicitis. All had Rovsing’s sign positive and the histopathological evidence of appendicitis. CONCLUSION: L-sign in appendicitis is similar to the Rovsing’s sign in diagnosis of appendicitis but elicited on right side.