Appendiceal abscess and ultrasound guided drainage

Case contributed by Ian Bickle

Presentation

RIF pain. Swinging fevers.

Patient Data

Age: 55 years
Gender: Male

5.7cm well defined right iliac fossa collection adjacent to a thick walled fluid filled appendix.

No free gas.

The solid organs are normal.

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.

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