Presentation
Abdominal pain.
Patient Data
Age: 40 years
Gender: Male
From the case:
Acute appendicitis - early perforation with peritonitis
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Dilated, fluid-filled appendix which is irregular and discontinuous by the base with some extraluminal gas. Right lower quadrant peritonitis with bowel serosal thickening and submucosal edema and fat stranding. Small ascites. No collections.
Case Discussion
Teaching case illustrating acute appendicitis complicated by perforation at the appendiceal base, with extraluminal locules of air and peritonitis (bowel serosal thickening is the major hint).