IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Acute appendicitis

Case contributed by David Cuete
Diagnosis certain

Presentation

Right lower quadrant pain with fever and vomiting.

Patient Data

Age: 20 years
Gender: Male

CT abdomen and pelvis

ct

There is a distended appendix with an enhancing wall and two appendicoliths. Stranding is seen in the periappendiceal fat. No abnormal periappendiceal fluid collection or free gas can be seen. Few mesenteric lymph nodes in the vicinity of the inflamed appendix. 

Incidental liver cyst in segment VIII. 

Case Discussion

These findings are pathognomonic for acute appendicitis.

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.