Acute appendicitis

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Right lower abdominal pain, vomiting fever 38° C, and leukocytosis.

Patient Data

Age: 20 years
Gender: Male
ct

There is a long pelvic fluid-filled appendix (11 cm) with a thick enhanced wall (2 cm), containing an appendicolith (1.8 cm) obstructing the ostium with no evidence of wall defect. Periappendiceal fat stranding with thickening of the peritoneal reflections and free intraperitoneal fluid in the pelvis and ileus.

Case Discussion

CT features of a long pelvic acute appendicitis. The pelvic location is seen in around 30% of cases.

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