Acute appendicitis

Case contributed by Paiwand Parwez Muhammad , 30 Sep 2023
Diagnosis almost certain
Changed by Liz Silverstone, 3 Oct 2023
Disclosures - updated 6 Dec 2022: Nothing to disclose

Updates to Study Attributes

Findings was changed:

There is a blind-endBlind-ending 12mm fluid-distended tubular structure of about 12 mm thickness, arising from the lateral part of the caecum andposterior caecal pole extending upproximally to the sub-hepatic region, associated with marked surrounding fat stranding, an.

Uniformly enhancing thickened appendiceal wall, a picture of acute appendicitis of a sub-hepatic appendix, with no abnormal gas and no abscess or mass formation at presentphlegmon.

Incidental abnormal distal anterior abdominal wall.

Updates to Quizquestion Attributes

Answer was changed:
An increaseThe normal appendix is variable in appendicealsize and calibre between serial CT examinations, evenmeasuring up to 35 cm in the absencelength and 12 mm in diameter. Features of adjacent fat stranding, may signal early-stage acuteinflammation are essential to make a diagnosis of appendicitis.

Updates to Case Attributes

Body was changed:

For diagnosing acuteCT has high sensitivity and specificity for appendicitis, CT is still regarded as the most sensitive imaging technique and it’s complications.

  • -<p>For diagnosing acute appendicitis, CT is still regarded as the most sensitive imaging technique.</p>
  • +<p>CT has high sensitivity and specificity for appendicitis and it’s complications.</p>

References changed:

  • 1. Deshmukh S, Verde F, Johnson P, Fishman E, Macura K. Anatomical Variants and Pathologies of the Vermix. Emerg Radiol. 2014;21(5):543-52. <a href="https://doi.org/10.1007/s10140-014-1206-4">doi:10.1007/s10140-014-1206-4</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24570122">Pubmed</a>
  • 2. Willekens I, Peeters E, De Maeseneer M, de Mey J. The Normal Appendix on CT: Does Size Matter? PLoS One. 2014;9(5):e96476. <a href="https://doi.org/10.1371/journal.pone.0096476">doi:10.1371/journal.pone.0096476</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24802879">Pubmed</a>

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