Acute appendicitis

Case contributed by Bálint Botz
Diagnosis certain


Right lower quadrant pain, defense, nausea, and elevated inflammatory markers.

Patient Data

Age: 45 years
Gender: Male

The vermiform appendix is coursing superficially and medially, well-visualized even with the curvilinear probe. Note marked thickening (13-15 mm) and wall irregularity. Painful and rigid upon direct compression. Hypervascularity with mesoappendiceal vasa recta engorgement. Periappendicular fat stranding and a small amount of fluid are also present. 

Case Discussion

Upon subsequent laparoscopic surgery, a markedly inflamed but not yet perforated appendix was removed. Histopathology was in line with the clinical diagnosis. 

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