The patient went on to have surgery.
Histology
MACROSCOPIC DESCRIPTION: The specimen is an appendix 70mm long and 5mm in diameter. Immediately adjacent to the base is a fusiform dilated area spanning 20mm with the diameter up to 12mm. Within the lumen is a solid faecalith. There is otherwise no perforation or fibrinopurulent exudate.
MICROSCOPIC DESCRIPTION: Sections of the appendix show no mucosal ulceration. Scattered neutrophils are seen in the mucosa. Reactive lymphoid follicles are present within the wall. The serosa is unremarkable. There is no evidence of malignancy.
DIAGNOSIS: Acute appendicitis.