Appendicitis with perforation

Case contributed by Dr Andrew Dixon

Presentation

3 day history of increasing abdominal pain and constipation for 2 days. Past Medical History of Crohn's Disease.

Patient Data

Age: 45
Gender: Male
CT

Mildly thick-walled retrocaecal appendix measuring 11 mm in transverse diameter. Adjacent to the appendiceal tip, there is a small low-density collection with a single intraluminal gas locule, consistent with local perforation. Additional small locules of free gas adjacent to the appendix and elsewhere within the right side of the abdomen. Mild peri-appendiceal inflammatory stranding. Prominent mesenteric nodes measuring up to 12 mm in transverse diameter.  Mild circumferential wall thickening of the terminal ileum in keeping with Crohn's disease without definite active inflammation.

Case Discussion

Perforated appendicitis with small volume periappendiceal fluid collection and trace pneumoperitoneum. 

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Case information

rID: 35790
Case created: 23rd Apr 2015
Last edited: 24th Nov 2015
Inclusion in quiz mode: Included

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