Appendicitis

Case contributed by Dr Omar Giyab

Presentation

The patient had a one month long history of lower abdominal pain, and a one day history of bloating. There was no vomiting or nausea. 38.7C temperature was recorded upon admission. Physical exam showed tenderness at the McBurney point. Abdominal ultrasound was not informative, regarding the appendix. Laboratory findings were elevated CRP, ALP, GGT, and WBC.

Patient Data

Age: 83
Gender: Female
Modality: CT

The patient had a negative ultrasound scan before the CT.

CT revealed a retrocaecal, distended appendix, with hypodense content. Mild fat stranding was seen in the mesoappendix. No free abdominal air or fluid was detected. There was only one enlarged lymph node in the vicinity of the appendix.

Case Discussion

Appendicitis mainly affects children and young adults, but elderly patients can also be affected. A retrocoecally located appendix, can obscure the sonographic visualisation of the organ.

PlayAdd to Share

Case Information

rID: 23594
Case created: 26th Jun 2013
Last edited: 13th Feb 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.