Presentation
Right lower abdominal pain with fever and leukocytosis.
Patient Data
Age: 4 years
Gender: Female
From the case:
Perforated appendicitis - pediatric
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Axial non-contrast
The appendix is of retrocecal position, distended with fluid-filled and thickened and enhanced wall. There is a focal defect of the appendiceal wall with an adjacent fluid collection extending to the colonic gutter. Mesenteric fat stranding, with thickening and enhancement of the peritoneal reflections and reactive lymph nodes enlargement, are noted.
From the case:
Perforated appendicitis - pediatric
Annotated image
Annotated image showing the site of the appendiceal perforation (white arrow).
Case Discussion
CT features of a perforated acute appendicitis.