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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.


CT confirms dilated edematous appendix with surrounding inflammatory fat stranding consistent with appendicitis.
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MPX2292_synpic43609: CT confirms dilated edematous appendix with surrounding inflammatory fat stranding consistent with appendicitis.


Acute Appendicitis in Cystic Fibrosis Patient

Galifianakis AG - MedPix (2008)

CT confirms dilated edematous appendix with surrounding inflammatory fat stranding consistent with appendicitis.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2292_synpic43609: CT confirms dilated edematous appendix with surrounding inflammatory fat stranding consistent with appendicitis.

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.