Citation, DOI, disclosures and case data
At the time the case was submitted for publication Bruno Di Muzio had no recorded disclosures.View Bruno Di Muzio's current disclosures
Fever, nausea and vomiting. Diffuse abdominal pain.
CT Abdomen and pelvis
Loading Stack -
0 images remaining
The appendix is diffusely enlarged (measuring 2 cm in diameter) with thickened walls. There is periappendiceal inflammation, including stranding of the adjacent fat and minimal extraluminal fluid. Two small calcifications within the appendix base may correspond to appendicoliths. There is also diffuse hepatic steatosis. The remainder of the exam is unremarkable.
This case shows an exuberant acute appendicitis case in which almost all of the radiological signs are present and clearly identified. In older patients with abundant intra-abdominal fat between bowel loops, diagnosing acute appendicitis is often not difficult. Early presentation in skinny patients, teenagers or even kids can add some difficulty in spotting an inflammed appendix.
13 public playlists include this case
- Crash Course Year 4 - Abdomen by Sally Ayesa ◉
- GI4-P5 by tuanleminh ◉
- addome by Marco Bernhart
- TRABALHO 2 6 P by Fernando Machado Maia
- Radiology final by Teal Clocksin
- ED Teaching by Cameron Grant
- FY1 teaching by Taufiq Dawood
- STEX123 by Andre Kemmling
- Fallsammlung 2022 by Inka Ristow
- Abdo I by Jeremy
- Inflammatory itis-es by Daniel Díaz Espinosa
- RANZCR-Med 23 by Mohamed R Nouh
- Appendicitis by Anh Khoa