Acute appendicitis


CT should be used selectively in acute appendicitis queries.

Clinical examination and ultrasound (especially in the young and thin) being the mainstay.

This is a lovely example of:

- classical signs of appendicitis: thickening appendix, periappendiceal inflammatory change and obstructing appendicoliths

- appendicitis in an atypical location (very anteromedial)

- a very long appendix