Appendicitis with phlegmon

Case contributed by Dr Hani Salam

Presentation

Fever and right iliac fossa pain.

Patient Data

Age: 6 years
Gender: Male
X-ray

Peritoneal dialysis catheter seen in position with paucity of bowel gas in the right iliac fossa. Multiple rounded calcified/ossified opacities are seen projecting over the right iliac fossa ?appendicoliths.

CT

Appendicular mass: inflamed appendix with phlegmon. Bilateral hydroureteronephrosis.

Case Discussion

6 year old boy known case of chronic renal failure on peritoneal dialysis, presented with fever and acute right iliac fossa pain of 5 days duration.

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Case information

rID: 9358
Published: 6th Jul 2015
Last edited: 14th Jul 2018
Inclusion in quiz mode: Included

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