Pelvic appendicitis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Pelvic pain with tenderness and leukocytosis.

Patient Data

Age: 9 years
Gender: Female
ct

Dilated pelvic appendix (10 mm) with thick enhanced wall, containing calcified deposits (appendicoliths) with surrounding fat stranding and pelvic free intraperitoneal fluid.

Enlarged liver (length = 14 cm).

Case Discussion

CT features of acute pelvic appendicitis.

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