CT Abdomen and Pelvis
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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.
The findings described at the level of the right iliac fossa are compatible with complicated acute appendicitis with appendicular abscess.
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- 2. Marque B, Montaigut JY, Wafflart E et-al. [What diagnosis? Appendicular abscess]. J Radiol. 1998;79 (1): 65-7. Pubmed citation