Perforated appendicitis with phlegmon formation

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Two weeks history of neglected right lower abdominal pain with fever.

Patient Data

Age: 45 years
Gender: Female

Inflammatory mass (phlegmon) in the right iliac fossa surrounding a perforated appendix which is visible in its proximal segment only. This inflammatory mass contains an appendicolith with surrounding fat stranding, thickening with enhancement of the peritoneal reflections as well as reactive thickening of the terminal ileum and reactive enlarged lymph nodes.

Case Discussion

CT features of perforated acute appendicitis with phlegmon formation.

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.