Perforated appendicitis with appendicolith

Case contributed by Maulik S Patel
Diagnosis almost certain

Patient Data

Gender: Female

A calcified density is projected on the right lower quadrant in this upright abdominal radiograph.

Dilated appendix with a large appendicolith within.

There is free fluid with floating internal echoes in the perivesical space.

Findings are consistent with perforated appendicitis.

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