Presentation
Localized right lower quadrant pain
Patient Data
Age: 60
Gender: Female
From the case:
Acute appendicitis
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Distended appendix to a diameter of 1 cm. Periappendiceal stranding. No abscess
and no evidence of perforation.
The liver and spleen are normal. Kidneys not obstructed and no mass. Pancreas normal. Gallbladder mildly distended, however no calculi. No intra or extra-hepatic bile duct dilatation. No lymphadenopathy.
Case Discussion
This is a classic case of acute appendicitis with findings on CT including: appendiceal dilatation with wall thickening and periappendiceal inflammation.
The patient proceeded to laparoscopic appendectomy, with the specimen sent to pathology, where diagnosis was confirmed.
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