EURORAD ESR

Case 13992

RLQ pain and persistent High-Fever: think of Appendiceal Mucocele

Author(s)
Teiga, Eduardo; Alcantara, Rodrigo; del Carpio, Luis; Flores, Daniel; Zugazaga, Ander

Hospital Universitario del Mar; Passeig Maritim 08005 Barcelona, Spain; Email:eduardo_teiga@hotmail.com
 
Patient
male, 57 year(s)
 
 
  • Figure 1
    Abdominal X-ray

    X-ray depicted a suspicious radiolucent area at the low right quadrant

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    US
     

    Ultrasound showed a well-defined anechoic mass with internal echogenic debris, encapsulated, in the right iliac fossa. A gas bubble within the mass was also depicted.

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

    Ultrasound showed a well-defined anechoic mass with internal echogenic debris, encapsulated, in the right iliac fossa

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    CT - Axial
     

    CT depicted a mass in continuity with the caecum, with thickened walls, containing fluid and gas bubbles.

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

    A moderate inflammatory reaction of the perivisceral fat was present. Moreover, the intestinal loop medial to the mucocele exhibits the "small bowel faeces sign" due to delayed intestinal transport.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    CT- Coronal

    CT depicted a mass in continuity with the caecum, with thickened walls, containing fluid and gas bubbles.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
X-ray depicted a suspicious radiolucent area at the low right quadrant
 
Ultrasound showed a well-defined anechoic mass with internal echogenic debris, encapsulated, in the right iliac fossa. A gas bubble within the mass was also depicted.
 
Ultrasound showed a well-defined anechoic mass with internal echogenic debris, encapsulated, in the right iliac fossa
 
CT depicted a mass in continuity with the caecum, with thickened walls, containing fluid and gas bubbles.
 
A moderate inflammatory reaction of the perivisceral fat was present. Moreover, the intestinal loop medial to the mucocele exhibits the "small bowel faeces sign" due to delayed intestinal transport.
 
CT depicted a mass in continuity with the caecum, with thickened walls, containing fluid and gas bubbles.
 
 
 
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