Appendiceal abscess

Case contributed by Alexandra Stanislavsky
Diagnosis almost certain


Lower abdominal pain and fever.

Patient Data

Age: 30 years
Gender: Female

CT of the abdomen demonstrates a markedly dilated and inflamed, fluid filled tubular structure in the right lower pelvis which displaces the uterus and rectum.

CT imaging differential includes an appendiceal abscess and a tubo-ovarian abscess.


Ultrasound demonstrates that this is separate from the normal looking right ovary and confirms the relationship with the cecum. Diameter: 3.8cm.

Case Discussion

Final diagnosis: Appendiceal abscess.

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