Right iliac fossa pain for several days, mild leucocytosis.
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Distended non-compressible appendix (diameter = 8 mm).
Surrounding heterogeneous mixed echogenicity mass/abscess formation.
No appendicolith detected.
The patient presented with a history of abdominal pain over 2-3 weeks, which was initially moderate (5/10) followed by sudden relief of pain for 1-2 days. Pain then recurred for a few days after which the patient sought medical advice. The initial diagnosis of acute appendicitis was missed.
Following the radiological diagnosis of appendicular abscess, the patient was admitted for further management, where he received IV antibiotics and was scheduled for surgery.