Acute appendicitis

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Right renal colic

Patient Data

Age: 30 years
Gender: Female
ct

Increased attenuation of the medullary pyramids in keeping with medullary nephrocalcinosis. No stones are seen. Very long retrocecal appendix with the tip reaching the lower pole of the right kidney with fat stranding near its tip with a maximum diameter of 0.8 cm in keeping with acute appendicitis. 

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