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Acute appendicitis

Case contributed by Vitalii Rogalskyi
Diagnosis certain

Presentation

Acute right lower quadrant abdominal pain, fever.

Patient Data

Age: 55 years
Gender: Male

CT abdomen & pelvis

ct

CT of the abdomen and pelvis demonstrates ascending retrocecal appendix position. Appendix has thickened and enhancing wall. Stranding of adjacent fat without fluid collection or free air.

Two simple cyst of left kidney noted.

Annotated images

Annotated image

Curved coronal projection shows appendix with mural thickening and pathologic enhancement (red arrow).

Case Discussion

Clinical symptoms and CT findings are consistent with diagnosis of acute appendicitis. No complications (such as perforation, abscess formation etc) performed. 

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