Perforated appendicitis

Case contributed by Esraa Abuikhrays Aljabu
Diagnosis certain

Presentation

5-day history of abdominal pain. 

Patient Data

Age: 60 years
Gender: Female
ct

The appendix appears dilated with a wall focal defect, extraluminal small air locules, and internal hyperdensity (obstructing appendicolith).

Incidental finding of a midline ventral abdominal wall hernia.

Case Discussion

CT scan features of perforated appendicitis were confirmed at surgery.

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