Presentation
Right hypochondrial pain for two days.
Patient Data
Age: 37 years
Gender: Male
From the case:
Subhepatic appendicitis (with appendicolith)
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Ultrasound of the region of interest.
From the case:
Subhepatic appendicitis (with appendicolith)
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CT without and with contrast.
From the case:
Subhepatic appendicitis (with appendicolith)
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Dilated inflamed appendix.
Case Discussion
Subhepatic appendicitis may clinically mimic cholecysitis. US and CT help in differentiation.
An appendicolith is calcified debris within the appendix, and a risk factor for appendicitis. An appendicolith gives an acoustic shadow at ultrasound.
The case is courtesy of Dr/ Leila Zitouni, Consultant Radiology and Dr/ Bashar Raad, Surgery Consultant, RCMC.