Perforated appendicitis with abscess formation

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Ten days history of neglected right lower abdominal pain with fever and tenderness.

Patient Data

Age: 11 years
Gender: Female

Moderately dilated appendix of retrocecal location with thick enhanced wall, perforated within the right psoas muscle forming a large abscess. Surrounding fat stranding with reactive mesenteric lymph nodes as well as mild peritoneal fluid with thickening and enhancement of the adjacent peritoneal reflections.

Case Discussion

A case of neglected perforated appendicitis within the psoas muscle with abscess formation and focal peritonitis.

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