McBurney's point

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McBurney's point
trunk, with McBurney's point labeled with a red circle at bottom left at the inferior part of the cecum.
Identifiers
FMA11362
Anatomical terminology]

McBurney's point is the name given to the point over the right side of the

appendix
.

Location

McBurney's point is located one third of the distance from the right

appendix, where it is attached to the cecum.[3]

Normal location of the appendix relative to other organs of the digestive system (anterior view). Cecum and appendix are visible at bottom left.

Appendicitis

Deep

caecum), which also limits the use of this sign, as many cases of appendicitis do not cause point tenderness at McBurney's point. For most open appendectomies (as opposed to laparoscopic appendectomies), the incision is made at McBurney's point.[6]

Pseudoaneurysm

A pseudoaneurysm in the aorta may be treated surgically, with an incision made between McBurney's point and the lower intercostal spaces.[7]

Peritoneal dialysis

McBurney's point may be a useful site for insertion of a peritoneal dialysis catheter.[8]

History

McBurney's point is named after American surgeon Charles McBurney (1845–1913).[1][6] McBurney himself did not locate his point in a precise way in his original article.

The seat of greatest pain, determined by the pressure of one finger, has been very exactly between an inch and a half and two inches from the anterior spinous process of the ilium on a straight line drawn from that process to the umbilicus

— Charles McBurney, "Experience with Early Operative Interference in Cases of Disease of the Vermiform Appendix"; New York Medical Journal, 1889, 50: 676–684 [pg 678].

References

Bibliography

External links