Acute appendicitis

Case contributed by Maulik S Patel
Diagnosis certain


Pain in right lower abdomen for last 3 days

Patient Data

Age: 20 years
Gender: Male

The normal proximal appendix is seen. The narrow transition from normal to the abnormally dilated appendix is noted. No fecolith is seen at this point. Distal half of appendix is dilated. Fluid debris level is noted. The tip of the appendix is directed to the pelvis.

Acute appendicitis with a dilated and edematous appendiceal wall.

Case Discussion

Findings of acute appendicitis with fluid -debris level affecting distal half of appendix.

Surgery - Findings confirmed. Pus was present which was seen at fluid -debris level on ultrasound. No fecolith.

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