Gangrenous appendicitis with perforation

Case contributed by Husam Hussein Yaseen


Diabetic patient with mild right iliac fossa pain

Patient Data

Age: 50 years
Gender: Male

Non-contrast abdominal CT scan reveals a thickened appendix with abundant gas inside and excessive surrounding fat stranding. A small mucosal defect was noticed with a few small extraluminal air bubble feature consistent with perforated gangrenous appendicitis.

The cecum is mildly thickened in resounding to appendicular inflammatory changes. 

Case Discussion

A gangrenous perforated appendix was surgically proved. An analgesic drug had masked the patient's symptoms.

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