Presentation
Right iliac fossa pain, ? appendicitis.
Patient Data
Age: 15 years
Gender: Male
From the case:
Acute appendicitis (perforated)
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CT abdomen pelvis (portal venous phase) shows a distended, blind-ending tubular structure from the base of the cecum containing fecoliths with surrounding inflammatory stranding.
Case Discussion
The CT is in inkeeping with acute appendicitis. The free fluid and peritoneal thickening indicate perforation. The op note showed "...perforated pelvic appendix, 4 quadrant pus, locus of pus in the pelvis and in between the loops of the small bowel, identification of the base, wide base, with foecolith, base..."
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