IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Appendicular abscess

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Right flank pain to rule out renal stones.

Patient Data

Age: 25 years
Gender: Male
x-ray

Non-specific bowel pattern. 

On presentation

ct

An inflamed appendix with appendicolith is seen subjacent to the right hepatic lobe.

2 weeks later

ultrasound

6.7 x 5.2 cm hyperechogenic lesion posterior to the right hepatic lobe with echogenic rim.

2 weeks later

ct

A subhepatic collection containing gas and appendicolith, in keeping with an appendicular abscess.

Case Discussion

Appendicular abscess is considered the most common complication of acute appendicitis, in particular after a perforated appendix

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.