Rosenstein's sign

Rosenstein's sign, also known as Sitkovskiy sign is a sign of acute appendicitis.[1]

It is observed, when tenderness in the right lower quadrant increases when the patient moves from the supine position to a recumbent posture on the left side.[2]


The sign is named after the almost forgotten Jewish German physician and director of The Jewish Hospital, Berlin, Paul Rosenstein (1875–1964). Sitkovskiy's symptom[3] is the equivalent symptom.


  1. Sachdeva, Anupam; Dutta, AK (31 August 2012). Advances in Pediatrics. JP Medical Ltd. p. 1432. ISBN 978-93-5025-777-7.
  2. Diagnosis and Treatment of Acute Appendicitis JMAJ 46(5): 217–221, 2003 Hiroshi ISHIKAWA
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