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Retrocecal appendicitis

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Right lower quadrant abdominal pain. Ultrasound inconclusive.

Patient Data

Age: 30
Gender: Female
ct

Zoomed in image of the right lower quadrant. There is a mildly dilated rim-enhancing tubular structure in cross section (the appendix) behind the cecum. There is mesenteric fat stranding, compatible with inflammatory change.

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