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Acute Appendicitis in Cystic Fibrosis Patient

Galifianakis AG - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute Appendicitis in Cystic Fibrosis Patient

History: 10 y.o. girl with known cystic fibrosis presents with acute onset of right lower quadrant pain, fever, and leukocytosis.

Findings: Ultrasound demonstrates a dilated, blind-ended tubular structure with surrounding fluid. CT confirms a massively dilated appendix with surrounding inflammatory changes.

Ddx: Prior to imaging, the most important diagnostic consideration is to rule out appendicitis. Additional entities which patients with Cystic Fibrosis are predisposed to include intussusception, Crohn Disease, fibrosing colonopahty and bowel wall edema secondary to hypoproteinemia.

Dxhow: Pathology from appendectomy

Exam: +tnderness to palpation over McBurney's point. Increased WBC count Fever to 102 F

No MeSH data available.


Trans- abdominal ultrasound demonstrates a dilated tubular structure with thickened walls and surrounding free fluid.  Initially thought too- large to represent the appendix, a CT was recommended for further evaluation.
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MPX2292_synpic43608: Trans- abdominal ultrasound demonstrates a dilated tubular structure with thickened walls and surrounding free fluid. Initially thought too- large to represent the appendix, a CT was recommended for further evaluation.


Acute Appendicitis in Cystic Fibrosis Patient

Galifianakis AG - MedPix (2008)

Trans- abdominal ultrasound demonstrates a dilated tubular structure with thickened walls and surrounding free fluid.  Initially thought too- large to represent the appendix, a CT was recommended for further evaluation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2292&req=5

MPX2292_synpic43608: Trans- abdominal ultrasound demonstrates a dilated tubular structure with thickened walls and surrounding free fluid. Initially thought too- large to represent the appendix, a CT was recommended for further evaluation.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute Appendicitis in Cystic Fibrosis Patient

History: 10 y.o. girl with known cystic fibrosis presents with acute onset of right lower quadrant pain, fever, and leukocytosis.

Findings: Ultrasound demonstrates a dilated, blind-ended tubular structure with surrounding fluid. CT confirms a massively dilated appendix with surrounding inflammatory changes.

Ddx: Prior to imaging, the most important diagnostic consideration is to rule out appendicitis. Additional entities which patients with Cystic Fibrosis are predisposed to include intussusception, Crohn Disease, fibrosing colonopahty and bowel wall edema secondary to hypoproteinemia.

Dxhow: Pathology from appendectomy

Exam: +tnderness to palpation over McBurney's point. Increased WBC count Fever to 102 F

No MeSH data available.