Presentation
Abdominal pain.
Patient Data
Age: 50 years
Gender: Male
From the case:
Perforated appendicitis
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Dilated, irregular, and fluid-filled appendix with a discontinuous wall in the midportion along the anterior margin, consistent with perforation. Just proximal to the site of perforation there is an appendicolith.
No discrete or drainable fluid collection. No other acute findings.
Case Discussion
This is a classic case of perforated appendicitis. Within the proximal/mid appendix there is an appendicolith. Just beyond the appendicolith, the appendix becomes dilated, irregular, and fluid-filled. Along the anterior margin there is a site of discontinuous mucosal enhancement with adjacent phlegmon, consistent with perforation. No other organized or drainable fluid collections are present.
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