Presentation
Had recent vaginal hysterectomy. Gelatinous ascites drained during surgery.
Patient Data
Age: 45
Gender: Female
From the case:
Appendix mucocele
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Dilated fluid filled appendix in the right lower quadrant. The wall is thin and contains a focus of hyperechogenicity with twinkle artifact. Surrounding fat is normal. No peri-appendiceal fluid or collection.
From the case:
Appendix mucocele
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Axial C+ portal venous phase

Dilated fluid filled appendix with a thin wall and small mural calcification. The surrounding fat is normal. Small volume of hypodense ascites.
Case Discussion
Dilated fluid filled appendix with a mural calcification and the history of gelatinous ascites highly suggestive of an appendix mucocele.