Perforated appendicitis

Case contributed by Dr Ian Bickle

Presentation

Short history of right lower abdominal pain. Peritonitic on examination. Perforated appendix?

Patient Data

Age: 55 years
Gender: Male
CT

Long thick walled fluid-filled appendix with a 6mm obstructing appendicolith at the ostium.

The tip of the appendix lies in the midline with multiple locules of peri-appendiceal free gas and inflammatory change centered on the mid-portion of the appendix.

No collection.

Gallstones.

Case Discussion

All the juicy features of an inflamed and perforated appendix with the typical obstructing appendicolith as the ostium.

Bread and butter radiology and increasingly more so with CT imaging.

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Case information

rID: 60631
Published: 28th May 2018
Last edited: 14th Aug 2019
Tag: ripas2
Inclusion in quiz mode: Included

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