Presentation
Right iliac fossa pain
Patient Data
Age: 45 years
Gender: Male
From the case:
Acute appendicitis
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Info
A thick-walled blind-ending vermiform structure arising from the caecum inferior to the ileocaecal valve, measuring up to 9 mm in diameter at its base and up to 24 mm at its tip in which surrounding fat oedema and stranding suggestive of gangrenous tip pending to perforate, no abscess or collection seen, no free fluid. There is regular circumferential caecal wall thickening is likely secondary to the inflamed appendix, also few enlarged non-suspicious mesenteric lymph nodes are seen.
Case Discussion
Acute inflammation of the appendix more marked at its tip was found at surgery.
The surgeon Saied look like: hand bell
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