Acute appendicitis

Case contributed by Mohammad Salem Amer
Diagnosis certain


Right iliac fossa pain for seven days associated with nausea, vomiting, constipation and high inflammatory markers.

Patient Data

Age: 20 years
Gender: Female

Dilated appendix with a maximum diameter of 12 mm showing a fluid-filled lumen and thick enhanced walls. Minimal reactionary pelvic free fluid. No phlegmon or abscess formation. No evidence of perforation.

Diagnosis was made as acute appendicitis.

Otherwise, normal.

Operative notes:

  • 10 mm and two 5 mm ports

  • diagnostic laparoscopy showed a thick inflamed appendix with a little free fluid in the pelvis

  • the rest of the laparoscopy was normal

  • total intracorporeal laparoscopic appendectomy was done

  • suction and irrigation

  • appendix was removed through the umbilical port

  • port wounds were closed

  • skin was closed

Case Discussion

This is a simple, straightforward case of non-complicated acute appendicitis in which the appendix shows a mucus-filled distended lumen. No evidence of phlegmon or abscess formation and no evidence of perforation.

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.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.