Presentation
Patient with 15 days history of abdominal pain in the right upper quadrant and fever.
Patient Data
Ascending retrocecal position of the appendix with thickened and enhanced wall. Periappendiceal and mesenteric inflammatory changes with thickening of the peritoneal and right anterior pararenal fascias. Multiple pericecal, subhepatic fluid collections as well as hepatic abscesses in the segments VI and VII.
Consolidation in the middle lobe and right lung base. A small splenic cyst.
Case Discussion
Patient with atypical clinical presentation lead to a delay in the diagnosis and increase the risk of complications, therefore the entire peritoneal cavity should be explored by ultrasound for any atypical abdominal pain including the right iliac fossa as well as the adnexas in female patient.
Additional Contributors: Dr R Bouguelaa, A Ramdani
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