Appendicitis with diverticulosis

Case contributed by Dr Maulik S Patel

Presentation

Right sided abdominal pain - Few days.

Patient Data

Age: 25
Gender: Male
Ultrasound

Appendix  - a blind ended, tubular, aperistaltic strucuture is noted, exiting from caecum.

Base - about 10 mm long - shows normal diameter ( < 6 mm ).

Rest of the appendix shows dilated lumen with in poorly compressible.

Appendix is retrocaecal, with tip near lower pole of right kidney.

Alteast 4 diverticuli are noted from distal part of the appendix, measuring upto 10 mm. Defect is noted in muscle layer  at neck of diverticuli. No changes of diverticulitis is seen in any of the them.

Few reactive local nodes were present.

Caecum, terminal ilium - normal.

No local free fluid.

 

Case Discussion

Findings favour appendicitis with diverticulosis without diverticulitis.

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Case information

rID: 31254
Case created: 27th Sep 2014
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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