Subhepatic appendicitis complicated with abscess
Severe right hypochondrial pain
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The appendix is retro-caecal sub-hepatic in location. It shows mural thickening and enhancement, its lumen is seen distended by fluid density; Extensive blurring and smudging of the surrounding fat planes. Fairly defined elliptical cystic fluid collection is seen at the sub-hepatic and right para-colic region measuring 6 x3.1 cm along its maximum axial dimensions showing thick enhancing walls and abutting the inferior lateral surface of the liver likely representing an "abscess".
Mild right pleural effusion with bilateral basal atelectatic changes.
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- Ong EM, Venkatesh SK. Ascending retrocecal appendicitis presenting with right upper abdominal pain: utility of computed tomography. World J. Gastroenterol. 2009;15 (28): 3576-9. Free text at pubmed - Pubmed citation