Appendicitis and appendicolith

Case contributed by Dr Matthew Lukies

Presentation

Severe abdominal pain. Nausea. Past history of pancreatitis.

Patient Data

Age: 70
Gender: Male
CT
  • Vermiform blind-ending structure arising from the caecum inferior to the ileo-caecal junction and looping posterior to the caecum. There is fat stranding posterior to the vermiform structure and also hyperdense foci within the lumen.
  • Dilated pancreatic duct and calcification in the head of the pancreas. These changes are related to chronic pancreatitis.
  • Two left renal cysts.

The findings in this CT are consistent with appendicitis and appendicolith, as well as changes related to chronic pancreatitis.

Case Discussion

The patient in this case proceeded to the operating theatre and an appendicectomy was performed. Histopathology confirmed the diagnosis.

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Case information

rID: 48930
Case created: 1st Nov 2016
Last edited: 3rd Nov 2016
Inclusion in quiz mode: Included

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