Presentation
Abdominal pain with peritonism mostly located in the right iliac fossa starting 2 days ago. 18.000 WBC.
Patient Data
The helix of the small intestine, the end of which is not continuous, appears a peristaltic with thickened distinct walls and peri appendiceal fluid collections, which may be caused by a small degree of perforation.
In the area of the ileocecal junction, there is fat stranding with extraluminal fluid collections. The appendix has increased diameter and thickened walls with enhancement in CECT. In direct contact with the lower part of the appendix, there is a round hypodense region with a liquid-gas level, which constitutes a small appendicular abscess.
Case Discussion
Findings consist of acute appendicitis. Because of the widespread inflammation of the appendix, the patient had a cecectomy.
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