Appendicitis



Appendicitis


Kelly L. Hastings

Cassandra M. Sams



CLINICAL HISTORY

35-year-old male with right lower-quadrant abdominal pain.






FIGURE 63A






FIGURE 63B






FIGURE 63C


FINDINGS

Figure 63A: Axial contrast-enhanced CT scan of the appendix. The appendix is dilated and fluid-filled (arrows) with periappendiceal stranding. Figure 63B: Axial contrast-enhanced CT scan of the appendix of the same patient. The distal appendix is dilated and fluid-filled with appendiceal wall enhancement and periappendiceal stranding (arrow). An appendicolith is identified in the proximal appendix (arrowhead). Figure 63C: Grayscale ultrasound image of the right lower quadrant of a different patient shows a blind-ending, dilated tubular structure with thickened wall, consistent with a dilated, edematous appendix (arrows). Hypoechoic material fills the appendix. An echogenic round structure in the midappendix demonstrates posterior shadowing, compatible with an appendicolith (arrowhead). These findings are consistent with acute appendicitis.

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Jun 30, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Appendicitis

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