Appendicular abscess

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Right flank pain to rule out renal stones.

Patient Data

Age: 25 years
Gender: Male
x-ray
Download
Info

Non-specific bowel pattern. 

On presentation

ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
Download
Info

An inflamed appendix with appendicolith is seen subjacent to the right hepatic lobe.

2 weeks later

ultrasound
Download
Info

6.7 x 5.2 cm hyperechogenic lesion posterior to the right hepatic lobe with echogenic rim.

2 weeks later

ct
Download
Info

A subhepatic collection containing gas and appendicolith, in keeping with an appendicular abscess.

Case Discussion

Appendicular abscess is considered the most common complication of acute appendicitis, in particular after a perforated appendix

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.