EURORAD ESR

Case 10895

Appendicitis with pelvic abscess: CT and MR evaluation

Author(s)
Briani C, Cappucci M, Bucciarelli A, Fantini C, Persechino R, De Dominicis C, Caterino S, Iannicelli E.

Radiology Unit,
Department of Surgical and Medical Sciences and Translational Medicine,
Faculty of Medicine and Psychology University of Rome,
Sapienza, Italy.
Sant’Andrea Hospital,
Via di Grottarossa 1035,
00189, Rome, Italy.
Email:elsa.iannicelli@uniroma1.it
 
Patient
female, 31 year(s)
 
 
  • Figure 1
    CT enhanced axial scan
     

    CT enhanced axial scan shows conglomerate ileal loops, increased bowel wall thickening cause to oedematous submucosa layer and adjacent fat stranding.(a)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    A pelvic abscess formation (b), 2x6cm in size, with adjacent round calcification, is also demonstrated (arrow)(c)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Abscess;

    A pelvic abscess formation (b), 2x6cm in size, with adjacent round calcification, is also demonstrated (arrow)(c)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 2
    T2-Weighted axial MR images
     

    T2-Weighted axial MR images show a blind-ending swollen structure, with hypointense thickened wall suggestive of acute appendicitis close to the abscess formation. Irregular wall and appendicoliths were demonstrated...

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    T2-Weighted axial MR images show a blind-ending swollen structure, with hypointense thickened wall suggestive for acute appendicitis close to the abscess formation. Irregular wall and appendicoliths were demonstrated...

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    The surgical specimen

    Swollen appendicitis, 11 cm in size, close to suffering ileal loops

     
    Area of Interest: Abdomen; Imaging Technique: Experimental; Procedure: Intraoperative; Special Focus: Inflammation;
     
     
CT enhanced axial scan shows conglomerate ileal loops, increased bowel wall thickening cause to oedematous submucosa layer and adjacent fat stranding.(a)
 
A pelvic abscess formation (b), 2x6cm in size, with adjacent round calcification, is also demonstrated (arrow)(c)
 
A pelvic abscess formation (b), 2x6cm in size, with adjacent round calcification, is also demonstrated (arrow)(c)
 
T2-Weighted axial MR images show a blind-ending swollen structure, with hypointense thickened wall suggestive of acute appendicitis close to the abscess formation. Irregular wall and appendicoliths were demonstrated (arrow)(b).
 
T2-Weighted axial MR images show a blind-ending swollen structure, with hypointense thickened wall suggestive for acute appendicitis close to the abscess formation. Irregular wall and appendicoliths were demonstrated (arrow)(b).
 
Swollen appendicitis, 11 cm in size, close to suffering ileal loops
 
 
 
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