Acute appendicitis

Case contributed by Yahya Khaled Hameed , 5 Aug 2023
Diagnosis almost certain
Changed by Matt A. Morgan, 8 Aug 2023
Disclosures - updated 13 May 2023: Nothing to disclose

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to 2023-08-08T04:42:18.889Z.
Presentation was changed:
Lower abdominal pain, fever and loss of appetite for 2two days' duration.
Body was changed:

The pictureThis appearance is in keeping with an inflamed appendix containing an appendicolith.

Inflammation of the appendix is called appendicitis"appendicitis" and mostly affects children and young adults. The aetiology of appendicitis is such that when the lumen of the appendix becomes obstructed, luminal stasis occurs leading to an increase in the intraluminal pressure, inflammation, and possibly perforation and abscess formation. A known culprit in the luminal obstruction of an appendix is the appendicolith 1.

Appendicoliths (also called appendiceal lithiasis/appendiceal / appendiceal coprolith/appendicolithiasis/appendiceal / appendicolithiasis / appendiceal faecalith) are calcified masses found within the lumen of the appendix 2. They have been conjectured to be formed by the layering and entrapment of accumulated faecal particulates and the aggregation of organic mineral salts collected in the appendix lumen which solidifies and calcifies over time 3.

  • -<p>The picture is in keeping with an inflamed appendix containing appendicolith.</p><p>Inflammation of the appendix is called appendicitis and mostly affects children and young adults. The aetiology of appendicitis is such that when the lumen of the appendix becomes obstructed, luminal stasis occurs leading to an increase in the intraluminal pressure, inflammation, and possibly perforation and abscess formation. A known culprit in the luminal obstruction of an appendix is the appendicolith <sup>1</sup>. </p><p>Appendicoliths (also called appendiceal lithiasis/appendiceal coprolith/appendicolithiasis/appendiceal faecalith) are calcified masses found within the lumen of the appendix <sup>2</sup>. They have been conjectured to be formed by the layering and entrapment of accumulated faecal particulates and the aggregation of organic mineral salts collected in the appendix lumen which solidifies and calcifies over time <sup>3</sup>.</p>
  • +<p>This appearance is in keeping with an inflamed appendix containing an appendicolith.</p><p>Inflammation of the appendix is called "appendicitis" and mostly affects children and young adults. The aetiology of appendicitis is such that when the lumen of the appendix becomes obstructed, luminal stasis occurs leading to an increase in the intraluminal pressure, inflammation, and possibly perforation and abscess formation. A known culprit in the luminal obstruction of an appendix is the appendicolith <sup>1</sup>.</p><p>Appendicoliths (also called appendiceal lithiasis / appendiceal coprolith / appendicolithiasis / appendiceal faecalith) are calcified masses found within the lumen of the appendix <sup>2</sup>. They have been conjectured to be formed by the layering and entrapment of accumulated faecal particulates and the aggregation of organic mineral salts collected in the appendix lumen which solidifies and calcifies over time <sup>3</sup>.</p>

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.