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Appendicular abscess

Case contributed by Dr Naim Qaqish

Presentation

Right iliac fossa pain.

Patient Data

Age: 12 years
Gender: Male
CT

Abdomen and pelvis with IV contrast

Large fluid collection located in the right lower quadrant with air-fluid levels, extending to the subhepatic space surrounded by thick irregular enhancing wall and surrounding fat stranding. No phlegmon.

Dilated fluid-filled appendix with a small calcified appendicolith at the base of the collection.

Bowel wall thickening in the right lower quadrant, with mild dilatation of the small bowel proximally.

Multiple enlarged mesenteric lymph nodes are seen the largest measure two centimeters in short axis.

Mild splenomegaly. Normal pancreas and both kidneys. Underfilled urinary bladder.

Case Discussion

This young patient presenting through the emergency room with right lower quadrant pain was suspected to have acute appendicitis. CT of the abdomen and pelvis with IV contrast was requested demonstrated dilated appendix with appendicolith and fluid collection in the appendicular region with air-fluid levels. Findings of appendicitis with appendicular abscesses

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Case information

rID: 84147
Published: 17th Nov 2020
Last edited: 19th Dec 2020
Inclusion in quiz mode: Included

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