Perforated appendicitis with abscess formation

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

One week history of neglected right lower abdominal pain with fever, and tenderness.

Patient Data

Age: 6 years
Gender: Male

Dilated appendix with thick enhanced wall. There is a focal defect at the appendiceal tip with extraluminal appendicolith and adjacent fluid-air collection as well as mesenteric fat stranding and reactive lymph nodes enlargement. Thickening with the enhancement of the adjacent vesical wall with no fistulous tract seen.

Case Discussion

CT features of perforated acute appendicitis with periappendiceal abscess formation.

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