Acute appendicitis

Case contributed by Dr Saeed Soltany Hosn

Presentation

50-year old man presented with acute abdominal pain and vomiting.

Patient Data

Age: 50-year
Gender: Male
Modality: CT

Delayed phase MDCT reveals a blind ending structure associated with a high density calculus (appendicolith) in the pericecal region, which is in favour of acute appendicitis.

Note the enhancing, thickened wall of the minimally enlarged appendix, with stranding (edema) in the adjacent mesenteric fat.

Three calcified fecaliths are visible even in topogram.

The abnormal appendix in this case measured more than 15 mm in diameter.

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Case Information

rID: 20592
Case created: 27th Nov 2012
Last edited: 25th Nov 2015
Inclusion in quiz mode: Included

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