Acute appendicitis

Case contributed by Dr Henry Knipe

Presentation

One day of episgastric to lower abdominal pain.

Patient Data

Age: 17
Gender: Female
Ultrasound

Thickened appendix is distended measuring up to 11 mm in diameter, with a small amount of intraperitoneal free fluid is noted. Probe tenderness illicited over the appendix.

Transabdominal examination of bilateral ovaries and uterus is unremarkable.

Conclusion: Appendicitis.

MACROSCOPIC DESCRIPTION: "Appendix": An appendix 55mm in length x up to 14mm in diameter. Cream serosal exudate covers the entire specimen. Sectioning reveals intraluminal haemorrhage. No tumour is seen.

MICROSCOPIC DESCRIPTION: Sections of the appendix show mucosal ulceration, associated with transmural acute inflammatory cell infiltrate. The serosa is covered by heavy inflammatory exudate. There is no evidence of malignancy.

DIAGNOSIS: Appendix: Acute appendicitis.

Case Discussion

Histopathologically proven case of acute appendicitis

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Case information

rID: 38023
Case created: 1st Jul 2015
Last edited: 12th Jul 2017
Inclusion in quiz mode: Included

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