Acute appendicitis

Case contributed by Lam Van Le
Diagnosis certain

Presentation

Right iliac fossa abdominal pain, mild fever, and blood tests show elevated white blood cell count and increased percentage of neutrophils.

Patient Data

Age: 25 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
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Info

On CT, the distal appendix is noted to be enlarged, measuring approximately 10mm in diameter, with thickened walls enhancing after contrast administration, and a appendicolith present in the lumen. Surrounding fat stranding and thickening of the adjacent peritoneum are observed. Diffuse hepatic steatosis is also noted.

Case Discussion

The abdominal CT findings are consistent with acute appendicitis in the right iliac fossa. The patient subsequently underwent laparoscopic surgery, which confirmed the diagnosis, and the appendix was removed.

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