Presentation
Pain epigastrium and right hypochondrium for 1 day, associated with anorexia. Also complain of dysuria. No fever, vomiting or change in bowel habits.
Patient Data
Enlarged appendix measuring 12 mm in diameter and approximately 9 cm in length with its tip lying in the subhepatic location. It shows intense mucosal enhancement and mild fat stranding and minimal free fluid around the appendix. No radiopaque appendicolith, sizable fluid collection, significant loco-regional lymphadenopathy or pneumoperitoneum is seen.
Case Discussion
Procedure: Laparoscopic appendectomy.
Gross description: The specimen is received in formalin in one container, labeled as appendix. It consists of an intact appendix measuring 0.5 x 0.6 x 8.0 cm. Outer serosa is intact. Serial sectioning shows necrotic lumen.
Diagnosis: Acute appendicitis.
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