Appendicitis - retrocecal

Case contributed by Dr Jeremy Jones

Presentation

Right iliac fossa tenderness. Off food. Nauseated, but no vomit. No guarding. ? appendicitis ? ovarian pathology

Patient Data

Age: 15 years
Gender: Female
Ultrasound

Normal upper abdomen. Normal uterus and ovaries.

Low-volume free fluid in the pelvis.

Free fluid around the cecum. Appendix not visualized.

CT

CT beautifully depicts an inflated retrocecal appendix with surrounding free fluid, no collection and no mass. Scattered right iliac fossa lymph nodes.

Case Discussion

Acute appendicitis confirmed at surgery. Uncomplicated appendectomy. Uncomplicated recovery.

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