Acute appendicitis

Case contributed by Reem Nazeer Ali AbdulJabbar , 29 Dec 2023
Diagnosis certain
Changed by Arlene Campos, 9 Jan 2024
Disclosures - updated 9 Jun 2023: Nothing to disclose

Updates to Study Attributes

Findings was changed:

The mid portion-portion of the appendix is obstructed by a large appendicolith, causing distal dilatation with subtle adjacent fat stranding and prominent adjacent lymph nodes. Multiple luminal appendicoliths are noted at its tip.

The proximal appendix is normal in calibre.

Updates to Case Attributes

Body was changed:

In acute appendicitis, usually, the entire length of the appendix is affected; however, not uncommonly, the inflammation may involve just the tip or midway (as in this case).

The proximal appendix was challenging to find. However, with careful observation and with the help of ultrasound (images not shown), the patient was diagnosed with acute appendicitis and subsequently underwent surgery, which confirmed the diagnosis.

  • -<p>In acute appendicitis, usually, the entire length of the appendix is affected; however, not uncommonly, the inflammation may involve just the tip or midway (as in this case).</p><p>The proximal appendix was challenging to find. However, with careful observation and with the help of ultrasound (images not shown), the patient was diagnosed with acute appendicitis and subsequently underwent surgery, which confirmed the diagnosis.</p>
  • +<p>In acute appendicitis, usually the entire length of the appendix is affected; however, not uncommonly, the inflammation may involve just the tip or midway (as in this case).</p><p>The proximal appendix was challenging to find. However, with careful observation and with the help of ultrasound (images not shown), the patient was diagnosed with acute appendicitis and subsequently underwent surgery, which confirmed the diagnosis.</p>
Edit Without Moderation was set to true.

References changed:

  • Lowe L, Penney M, Scheker L et al. Appendicolith Revealed on CT in Children with Suspected Appendicitis. AJR Am J Roentgenol. 2000;175(4):981-4. <a href="https://doi.org/10.2214/ajr.175.4.1750981">doi:10.2214/ajr.175.4.1750981</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11000148">Pubmed</a>
  • 3. Lowe L, Penney M, Scheker L et al. Appendicolith Revealed on CT in Children with Suspected Appendicitis. AJR Am J Roentgenol. 2000;175(4):981-4. doi:10.2214/ajr.175.4.1750981 - Pubmed

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.