Acute appendicitis

Case contributed by Dr Bruno Di Muzio


Fever, nausea and vomiting. Diffuse abdominal pain.

Patient Data

Age: 45-year-old
Gender: Male

CT Abdomen and pelvis

The appendix s diffusely enlarged (measuring 2,0 cm in diameter), with thickened walls, and surrounded by periappendiceal inflammation, including stranding of the adjacent fat and minimal extraluminal fluid. Two small calcifications within the appendix base may correspond to appendicolith. There is also a diffuse hepatic steatosis. Remainder exam is unremarkable. 

Case Discussion

This case shows an exuberant acute appendicitis case in which almost all the radiological signs are present and clearly identified. In older patients like this one, who has abundant intra-abdominal fat in between the bowels, the appendicitis diagnosis is not any challenge. Early presentation in skinny patients, teenagers or even kids can add some difficulty in spotting an inflammated appendix

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Case information

rID: 40656
Published: 29th Oct 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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