Appendicular abscess

Case contributed by Dr Bassem Marghany

Presentation

Right iliac fossa pain for several days, mild leucocytosis.

Patient Data

Age: 40 years
Gender: Male
Ultrasound

Distended non-compressible appendix (diameter = 8 mm).

Surrounding heterogeneous mixed echogenicity mass/abscess formation. 

No appendicolith detected.

Case Discussion

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. 

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Case information

rID: 67249
Published: 29th Apr 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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