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 Faeze Salahshour
Diagnosis almost certain

Presentation

Fever diarrhea and malaise since two weeks ago, she denies abdominal pain or anorexia

Patient Data

Age: 60 years
Gender: Female
ct

An abscess cavity containing air bubbles is seen posterior to the terminal ileum and reactive cecal wall thickening and small reactive lymph nodes. A short tubular structure representing inflamed proximal appendix is seen, arising from cecal tip merging with the abscess. Small elongated soft tissue posterosuperior to the abscess may be inflamed appendicular tip.

Annotated image

The red arrow points to the appendicular abscess, and yellow arrows show visible parts of the proximal inflamed appendix. 

Case Discussion

The patient underwent percutaneous drainage of the abscess and received intravenous antibiotics. Colonoscopy was normal, and appendectomy was performed 8 weeks after the CT scan. The pathology report was in favor of appendicitis, and no mass lesion was detected.

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.