Presentation
Abdominal pain in right iliac fossa, leukocytosis
Patient Data
Age: 40 years
Gender: Female
From the case:
Perforated acute appendicitis
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Cecal appendix with intrapelvic course, increased in diameter up to 15 mm, with diffuse mural thickening, enhancement and endoluminal appendicolith.
Adjacent periappendicular and pelvic inflammatory changes, with some gas bubbles (indicating perforation). Small volume of pelvic free fluid with peritoneal enhancement but no organized collection.
Case Discussion
The findings are consistent with perforated acute appendicitis.