Appendiceal abscess

Case contributed by Dr Alexandra Stanislavsky

Presentation

30 year old female with lower abdominal pain and fever

Modality: CT
Modality: Ultrasound

Case Discussion

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 relationship with the caecum. Diameter : 3.8cm.

Final diagnosis:

Appendiceal abscess

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Case Information

rID: 13096
Diagnostic certainty: Almost Certain
Tag: appendix
Inclusion in quiz mode: Included

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