Appendicitis with phlegmon

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

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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