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Irritable bowel syndrome and negative appendectomy
  1. F Fleming1,
  2. P Grace2
  1. 1General Surgery, Mid Western Regional Hospital, Limerick Ireland
  2. 2Surgical Science, University of Limerick, Ireland
  1. Correspondence to:
    MrFergal Fleming
    Department of Surgery, Mid-Western Regional Hospital, Limerick, Ireland; fjfleming{at}

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We read with interest the paper by Lu et al (Gut 2007;56:655–60) regarding predictors for negative appendectomy. The authors make no reference to the potential role of laparoscopy as a diagnostic tool in the management of patients presenting with acute lower abdominal pain. In a 2004 Cochrane review, …

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