Social shyness stands behind a roll pen in a female bladder: it mimics acute appendicitis.

CASE REPORT A 38 years old Saudi female, married with 4 offspring. She was presented to emergency with right iliac fossa pain and fever of two days duration. She also experienced nausea and vomiting twice. On examination she was febrile (38 C) with tender right iliac region and guarding. Leukocytosis, anemia and high erythrocytes sedimentation rate (ESR) were the remarkable findings in her laboratory workup. Primary diagnosis was acute appendicitis with shifting to surgical ward. Routine preoperative abdominal and pelvic ultrasound revealed minimal right iliac fossa collection (2 × 3 cm) with possible foreign body in the bladder or near the uterus. CASE REPORT