Presentation
4 days of right lower quadrant pain
Patient Data
Age: 55 years
Gender: Male
From the case:
Appendicular phlegmon
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An inflamed appendix with foci of mural discontinuity seen in favor of perforated appendicitis. Reactive wall thickening of adjacent sigmoid and ileum loop that contains the perforation is in favor of phlegmon formation.
From the case:
Appendicular phlegmon
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The yellow line encircles the reactive wall thickening of the adjacent ileum loop. The green arrows point to reactive sigmoid wall thickening. The white line encloses an air-containing abscess cavity. The blue circle shows inflamed appendix, with foci of mural discontinuity (red arrows).
Case Discussion
The patient received antibiotic treatment and an appendectomy after 4 weeks of antibiotic therapy.
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