Left sided appendicular abscess in patient with situs inversus

Case contributed by Ahmed BenSalem
Diagnosis almost certain

Presentation

Left sided abdominal pain with fever.

Patient Data

Age: 25 years
Gender: Female

Horizontally "flipped" position of the heart and the abdominal organs - situs inversus.

The appendix is dilated, measuring 10 mm in diameter, with a thickened and an enhancing wall. It communicates with a well-defined, irregular fluid collection with an enhancing wall.

Incidental left breast nodule.

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