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Acute appendicitis with an appendicolith

Herzog LBH - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Acute appendicitis with an appendicolith

History: 9 yo male with history of abdominal pain for 3 days that is localized to the RLQ. Please assess for possible appendicitis.

Findings: Appendicitis is the most frequent abdominal process requiring surgery in the pediatric population. Although the diagnosis can be clinically evident in 80% of patients, imaging using mostly plain film, ultrasound and CT can aid in the diagnosis. Findings can include appendiceal calculus, appendiceal abscess, periappendiceal soft tissue mass, small and/or large bowel obstruction, ileus, intraperitoneal fluid, obliteration of the psoas shadow, splinting of the lumbosacral spine, and a dilated blind-ending tubular structure measuring more than 6mm on sonographic examination

No MeSH data available.


Sequential CT axial images demonstrate a discrete calcific density representing an appendicolith near the origin of a dilated tubular structure that measured approximately 8mm in diameter.   There is no evidence of contrast entering this swollen appendix nor is there evidence of rupture.  Periappendiceal fat infiltration is also evident.
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MPX1648_synpic20206: Sequential CT axial images demonstrate a discrete calcific density representing an appendicolith near the origin of a dilated tubular structure that measured approximately 8mm in diameter. There is no evidence of contrast entering this swollen appendix nor is there evidence of rupture. Periappendiceal fat infiltration is also evident.


Acute appendicitis with an appendicolith

Herzog LBH - MedPix

Sequential CT axial images demonstrate a discrete calcific density representing an appendicolith near the origin of a dilated tubular structure that measured approximately 8mm in diameter.   There is no evidence of contrast entering this swollen appendix nor is there evidence of rupture.  Periappendiceal fat infiltration is also evident.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1648&req=5

MPX1648_synpic20206: Sequential CT axial images demonstrate a discrete calcific density representing an appendicolith near the origin of a dilated tubular structure that measured approximately 8mm in diameter. There is no evidence of contrast entering this swollen appendix nor is there evidence of rupture. Periappendiceal fat infiltration is also evident.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Acute appendicitis with an appendicolith

History: 9 yo male with history of abdominal pain for 3 days that is localized to the RLQ. Please assess for possible appendicitis.

Findings: Appendicitis is the most frequent abdominal process requiring surgery in the pediatric population. Although the diagnosis can be clinically evident in 80% of patients, imaging using mostly plain film, ultrasound and CT can aid in the diagnosis. Findings can include appendiceal calculus, appendiceal abscess, periappendiceal soft tissue mass, small and/or large bowel obstruction, ileus, intraperitoneal fluid, obliteration of the psoas shadow, splinting of the lumbosacral spine, and a dilated blind-ending tubular structure measuring more than 6mm on sonographic examination

No MeSH data available.