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Acute Appendicitis

Case DC - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Acute Appendicitis

History: 59 year old male Recent onset of right lower quadrant pain

Findings: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened. Impression: Ruptured acute appendicitis with associated appendicolith.

Ddx: Acute Appendicitis Mucinous tumor of the appendix

Dxhow: At surgery

Exam: Evevated tempurature Right lower quadrant tenderness and guarding Elevated white blood cell count

No MeSH data available.


The  appendix  is strikingly enlarged. An oval appendicolith is seen obstructing the proximal  aspect  of  the appendix.  High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat.  The walls of the cecum and terminal ileum are significantly thickened.
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MPX2500_synpic23573: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened.


Acute Appendicitis

Case DC - MedPix (2006)

The  appendix  is strikingly enlarged. An oval appendicolith is seen obstructing the proximal  aspect  of  the appendix.  High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat.  The walls of the cecum and terminal ileum are significantly thickened.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2500&req=5

MPX2500_synpic23573: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Acute Appendicitis

History: 59 year old male Recent onset of right lower quadrant pain

Findings: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened. Impression: Ruptured acute appendicitis with associated appendicolith.

Ddx: Acute Appendicitis Mucinous tumor of the appendix

Dxhow: At surgery

Exam: Evevated tempurature Right lower quadrant tenderness and guarding Elevated white blood cell count

No MeSH data available.