Subhepatic appendicitis (with appendicolith)

Case contributed by Dr Fakhry Mahmoud Ebouda


Right hypochondrial pain for two days.

Patient Data

Age: 37 years
Gender: Male
Modality: Ultrasound

Ultrasound of the region of interest.

Modality: CT

CT without and with contrast.

Dilated inflamed appendix.

Case Discussion

Subhepatic appendicitis may clinically mimic cholecysitis. US and CT help in differentiation.

An appendicolith is calcified debris within the appendix, and a risk factor for appendicitis. An appendicolith gives an acoustic shadow at ultrasound.

The case is courtesy of Dr/ Leila Zitouni, Consultant Radiology and Dr/ Bashar Raad, Surgery Consultant,  RCMC.

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Case Information

rID: 26953
Case created: 15th Jan 2014
Last edited: 14th Feb 2016
Inclusion in quiz mode: Included

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