Duplicated appendicitis

Case contributed by Dr Rageh Elkholy

Presentation

Right sided abdominal pain

Patient Data

Age: 30 years
Gender: Female
CT

Single cecum is seen with one normally localized appendix exhibiting partial duplication, filled with hypodense fluid and radiodense structures seen within it likely representing appendicoliths. Surrounding increased fat density. Minimal free fluid seen in the pelvis. Incidentally found pericholecystic rim of fluid and minimal pericardial effusion.

Annotated image

Duplex appendix containing appendicoliths.

Case Discussion

The patient came to the ER department complaining of right-sided abdominal pain two, with pyrexia and a raised white cell count. Ultrasound revealed minimal free fluid in the pelvis, and the appendix was not identified. The CT shows a single cecum with one normally localized appendix exhibiting partial duplication, with features of inflammation. Laparoscopy was performed and confirmed a duplex appendix type A.

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Case information

rID: 66630
Published: 18th Mar 2019
Last edited: 20th Mar 2019
Inclusion in quiz mode: Included
Institution: KNH SAUDI ARABIA

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