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Appendicitis with fecoliths

Case contributed by Dr Ana Brusic

Presentation

CLL on chemotherapy, presents with fevers, lower abdominal pain and peritonism.

Patient Data

Age: 70 years
Gender: Male
CT

The appendix is dilated, measuring up to 19 mm in diameter with mild surrounding fat stranding. Several calcified fecoliths within the appendiceal lumen, including one measuring 7 mm at the base of the appendix. 

No focal collection or extraluminal gas. Small locoregional lymph nodes. 

Case Discussion

​The findings are in keeping with acute appendicitis secondary to fecoliths. 

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Case information

rID: 60561
Published: 25th May 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Austin Health

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