Large appendicular abscess

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Severe abdominopelvic pain since three weeks ago.

Patient Data

Age: 16 years
Gender: Male
ct

An extensive loculated fluid collection with internal air bubbles is present in the pelvis that extends to the right lower quadrant, suggesting a sizable appendicular abscess. The lesion is causing pressure effect on adjacent bowel loops and results in proximal bowel loops distension. 

Case Discussion

Regarding the appendicular abscess size, ultrasound-guided percutaneous drainage followed by delayed appendectomy was performed on the patient. 

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