Appendicitis

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Lower abdominal pain

Patient Data

Age: 70 years
Gender: Male
ct

Stranding is present in the right lower quadrant, below and medial to the cecum which is thick walled. The appendix can be seen tracking medially, to lie above the bladder. it is thick walled and enhancing. Previous right inguinal hernia repair noted. 

Annotated coronal CT

ct

In this coronal stack the terminal ileum (TI) and appendix are labeled (arrows) 

Case Discussion

The patient went on to surgery which confirmed appendicitis. 

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