Presentation
Right sided abdominal pain for the last few days
Patient Data
Appendix - a blind ended, tubular, aperistaltic strucuture is noted, exiting from cecum.
Base - about 10 mm long - shows normal diameter ( < 6 mm ).
Rest of the appendix shows dilated lumen with in poorly compressible.
Appendix is retrocecal, with tip near lower pole of right kidney.
Alteast 4 diverticuli are noted from distal part of the appendix, measuring upto 10 mm. Defect is noted in muscle layer at neck of diverticuli. No changes of diverticulitis is seen in any of the them.
Few reactive local nodes were present.
Cecum, terminal ilium - normal.
No local free fluid.
Case Discussion
Findings favor appendicitis with diverticulosis without diverticulitis.