Appendicitis with fluid-fluid level

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Acute abdomen with central and right-sided abdominal pain.

Patient Data

Age: 20 years
Gender: Male
ultrasound

The dilated appendix is located in the right iliac fossa with its tip directed to 9 o'clock. Its diameter is up to 14 mm. The fluid-fluid level is present in the appendiceal lumen. No fecolith/ appendiceal wall breach. Periappendical inflammation is present without local lymphadenopathy/ collection. The cecum and terminal ileum were normal.

Case Discussion

The case shows appendicitis with fluid-fluid level. Surgery revealed a pus-filled appendix.

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