Acute appendictis

Case contributed by Ian Bickle
Diagnosis certain


Man in 30's with short onset lower abdominal/suprapubic pain and distension. Surgeons not entirely convinced clinically its appendicitis

Patient Data

Age: 35
Gender: Male

Thick walled fluid filled appendix containing an appendicolith.

Periappendiceal inflammatory change.

Small volume pelvic free fluid.  No free gas.

Mildly distended fluid filled small bowel suggesting minor ileus.

Fatty liver.

Case Discussion

The typical appearances of acute appendicitis.

CT is being increasingly used in this clinical scenario, however it should be reserved for select cases, such as diagnostic dilemma or complex appendiceal disease.

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