Presentation
Right flank pain to rule out renal stones.
Patient Data
Age: 25 years
Gender: Male
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Axial non-contrast
An inflamed appendix with appendicolith is seen subjacent to the right hepatic lobe.
Transverse
6.7 x 5.2 cm hyperechogenic lesion posterior to the right hepatic lobe with echogenic rim.
Axial C+ portal venous phase
A subhepatic collection containing gas and appendicolith, in keeping with an appendicular abscess.
Case Discussion
Appendicular abscess is considered the most common complication of acute appendicitis, in particular after a perforated appendix.
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