Case contributed by Ian Bickle


Right flank pain. Concern over a high lying acute appendicitis.

Patient Data

Age: 18 years
Gender: Male

Thick walled blind ending tubular structure with its tip close to the hepatorenal space.

No appendicolith.

Case Discussion

The site of an appendix may be variable, but the appearances when inflammed (appendicitis) are consistent:

- thick walled

- blind ending tube ( dont confuse with the terminal ileum )

- often an appendicolith

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