Appendicitis and appendicolith

Case contributed by Matthew Lukies
Diagnosis certain

Presentation

Severe abdominal pain. Nausea. Past history of pancreatitis.

Patient Data

Age: 70 years
Gender: Male
  • vermiform blind-ending structure arising from the cecum inferior to the ileocecal junction and looping posterior to the cecum. There is fat stranding posterior to the vermiform structure and also hyperdense foci within the lumen

  • dilated pancreatic duct and calcification in the head of the pancreas. These changes are related to chronic pancreatitis

  • two left renal cysts

The findings in this CT are consistent with appendicitis and appendicolith, as well as changes related to chronic pancreatitis.

Case Discussion

The patient in this case proceeded to the operating theater and an appendectomy was performed. Histopathology confirmed the diagnosis.

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