Odd position of the vermiform appendix

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis almost certain

Presentation

Recurrent right renal pain and calculi.

Patient Data

Age: 75 years
Gender: Female

Staghorn calculus seen in right renal pelvis, lower and middle calycies causing moderate upper pole hydrocalycosis with secondary calculi formation. Cortical thinning is also seen along the lower pole of right kidney. Note abnormal position of the appendix.

Mesenteric haziness with fat ring sign also seen, suggestive of mesenteric panniculitis.

Case Discussion

An incidental finding of odd position of the appendix that may mimicking symptoms of cholecysitis or right renal pain. It shows no signs of inflammation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.