Presentation
Right lower abdominal pain with tenderness, fever and leukocytosis.
Patient Data
Age: 20 years
Gender: Male
From the case:
Acute appendicitis
Download
Info
Dilated fluid-filled appendix (18 cm) with a thick enhanced wall, containing two appendicoliths (17 and 5 mm), obstructing the ostium with no evidence of wall defect. Periappendiceal fat stranding with thickening of the peritoneal reflections and free intraperitoneal fluid in the pelvis.
Enlarged liver with tongue-like appearance of the right lobe with inferior projection beyond the level of the most inferior costal cartilage in keeping with a Riedel lobe.
Moderately enlarged spleen (13.5 cm).
Motion artifact is noted in the upper abdomen.
Case Discussion
CT features of acute appendicitis with pelvic peritonitis that was confirmed at surgery.
Unable to process the form. Check for errors and try again.