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Positive Murphy's sign in acute appendicitis.

The patient was treated with a diagnostic laparoscopy and open appendicectomy by Kocher’s incision. The second patient was a 30-year-old who also presented with a positive Murphy’s sign and some tenderness in the anterior lumbar region. A laparoscopy confirmed subhepatic appendicitis (Figure 2). The appendix was removed laparoscopically. These cases confirm that Murphy’s sign is not pathognomonic of