Acute appendicitis

Case contributed by Mohammad Saboor Rastin
Diagnosis almost certain

Presentation

Right lower quadrant pain and tenderness; Ultrasound inconclusive, elevated WBCs

Patient Data

Age: 9 years
Gender: Male
ct

Appendiceal loop is diffusely thickened and enlarged in size with surrounding mesenteric fat stranding and numerous enlarged mesenteric lymph nodes. No abnormal collection. No appendicolith.

Annotated image

The arrows indicated inflamed appendiceal loop.

Case Discussion

The overall features are consistent with non-complicated acute appendicitis.

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