Appendicular abscess

Case contributed by Dr Hani Makky Al Salam

Presentation

Right flank pain to rule out renal stones.

Patient Data

Age: 25 years
Gender: Male
X-ray

Non-specific bowel pattern. 

On presentation

CT

An inflamed appendix with appendicolith is seen subjacent to the right hepatic lobe.

2 weeks later

Ultrasound

6.7 x 5.2 cm hyperechogenic lesion posterior to the right hepatic lobe with echogenic rim.

2 weeks later

CT

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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