Case contributed by A.Prof Frank Gaillard


Lower abdominal pain

Patient Data

Age: 70 years
Gender: Male

Stranding is present in the right lower quadrant, below and medial to the caecum which is thick walled. The appendix can be seen tracking medially, to lie above the bladder. it is thick walled and enhancing. Previous right inguinal hernia repair noted. 


Annotated coronal CT

In this coronal stack the terminal ileum (TI) and appendix are labeled (arrows) 

Case Discussion

The patient went on to surgery which confirmed appendicitis. 

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Case information

rID: 27446
Published: 3rd Feb 2014
Last edited: 8th Jul 2017
Inclusion in quiz mode: Included

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