Acute appendicitis complicated by abscess formation

Case contributed by Dalia Ibrahim
Diagnosis certain

Presentation

Acute right iliac fossa pain and fever with leuckocytosis.

Patient Data

Age: 60 years
Gender: Female
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

An appendicolith is obstructing the orifice of the appendix. The wall appears incomplete suggesting perforation but the tip is well seen. Adjacent irregular, rim-enhancing abscess collection containing small spilled appendicoliths. Surrounding fat planes smudged.

Case Discussion

This is a case of acute obstructive appendicitis with perforation, spilled calculi and abscess.

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