Presentation
RIF pain. Swinging fevers.
Patient Data
Age: 55 years
Gender: Male
From the case:
Appendiceal abscess and ultrasound guided drainage
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5.7cm well defined right iliac fossa collection adjacent to a thick walled fluid filled appendix.
No free gas.
The solid organs are normal.
From the case:
Appendiceal abscess and ultrasound guided drainage
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5.7cm right iliac fossa collection.
On the final image the drain lies in the collection.
Case Discussion
Classical appearances of an appendix abscess.
Percutaneous drainage is the typical first line of treatment, removing the abscess/collection allowing clinical improvement, temporising the appendicitis for interval appendectomy.
In this case 35mls of frank pus was drained.