Presentation
Acute onset of right iliac fossa pain. WBC = 14.7 with predominant neutropenia.
Patient Data
There is a blind ended tubular like structure in front of and communicating with the cecum and measuring about 1 cm in diameter and associated with wall contrast uptake, peri-appendicular fat stranding, mesenteric congestion and small perpendicular transudation fluids, in keeping with appendicitis. There is adjacent cecal mucosal thickening and mesenteric lymph nodes also noted.
Postoperative pathology specimen confirmed acute appendicitis and excluded malignancy.
Case Discussion
Perforation of acute appendicitis carries a higher risk of morbidity and mortality for elderly patients, CT scan is more specific and sensitive than ultrasound especially if the patient is stable.
Unable to process the form. Check for errors and try again.