Appendicular abscess

Case contributed by Dr David Cuete

Presentation

Abdominal pain

Patient Data

Age: 40
Gender: Female
CT

CT Abdomen and Pelvis

In the right iliac fossa there is a collection with irregular enhancing walls, with multiple gas bubbles inside and the presence of an appendicolith. This collection is surrounded by multiple bowel loops.

A cecal appendix is identified, reaching a diameter of 15 mm, and accompanied by inflammatory changes in adipose tissue adjacent pericecal situation.  Remaining small bowel and large bowel loops has a regular parietal enhancement pattern and normal wall thickness. 

There are also changes from resection of a pancreatic cyst. Uterus of normal morphology for the age of the patient. Two bilateral unilocular adnexal cystic lesions measuring 2.9 cm-3.3 cm right and left, likely functional. 

Case Discussion

The findings described at the level of the right iliac fossa are compatible with complicated acute appendicitis with appendicular abscess.

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Case information

rID: 22893
Case created: 2nd May 2013
Last edited: 18th Feb 2017
Inclusion in quiz mode: Included

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