Appendicitis

Case contributed by A.Prof Frank Gaillard

Presentation

Right flank pain. Renal colic?

Patient Data

Age: 30 years
Gender: Male
CT

CT KUB

Non contrast CT KUB obtained to evaluate for renal stones demonstrates the appendix, located behind and lateral to the caecum (paracecal), with evidence of acute inflammation and a luminal faecolith at its base.  No renal or ureteric calculi. No free gas. 

Annotated image

Annotated images

Coronal and axial images demonstrate the appendix (blue dotted line) to be located to lateral to the caecum (green dotted line) with extensive surrounding fat stranding. At the neck of the appendix is a calcific density consistent with an appendicolith (orange arrow). 

Case Discussion

This case illustrates how a less common location of the appendix (in this case paracecal) can result in atypical presentation which can mimic other pathologies. 

PlayAdd to Share

Case information

rID: 12510
Case created: 7th Dec 2010
Last edited: 16th Nov 2015
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.