Rovsing's sign

Right lower quadrant pain, typically at McBurney's point, elicited by deep palpation of the left lower quadrant, indicating peritoneal irritation due to referred pain and commonly associated with acute appendicitis.

Causes

• Acute appendicitis

• Pelvic inflammatory disease

• Ectopic pregnancy

• Diverticulitis (especially right-sided)

• Inflammatory bowel disease (Crohn's disease)

• Mesenteric adenitis

• Cecal inflammation or perforation

• Abdominal or pelvic malignancy with peritoneal involvement