EURORAD ESR

Case 15502

A rare presentation of acute appendicitis

Author(s)
Vahab Ahvazi

Nordsjællands hospital; Dyrehavevej 29 3400 Hillerød, Denmark; Email:vahabahvazi@gmail.com
 
Patient
male, 32 year(s)
 
 
  • Figure 1
    Ultrasound-gallbladder

    Abdominal ultrasound shows a gallbladder with normal wall and without gallstone.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Abdominal ultrasound-RUQ

    Transverse ultrasound image of RUQ shows a hypo-echoic bowel-like structure with 10 mm diameter, surrounded by hyperechoic mesenteric fat (white arrow).

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Abdominal CT-Coronal view

    Coronal image of the contrasted CT scan showing a blind ended bowel loop in sub-hepatic position, with wall thickening and distention of the lumen, surrounded by hyper-attenuating fat (white solid arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    Abdominal CT- sagittal view

    Abdominal CT-sagittal view shows 15mm deposit in a sub hepatic located blind-ended bowel loop, suggesting appendicolith within the appendix lumen (white arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 5
    Abdominal CT-horizontal view

    A calcified deposit within the appendix suggestive for appendicolith (white arrow)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
Abdominal ultrasound shows a gallbladder with normal wall and without gallstone.
 
Transverse ultrasound image of RUQ shows a hypo-echoic bowel-like structure with 10 mm diameter, surrounded by hyperechoic mesenteric fat (white arrow).
 
Coronal image of the contrasted CT scan showing a blind ended bowel loop in sub-hepatic position, with wall thickening and distention of the lumen, surrounded by hyper-attenuating fat (white solid arrow).
 
Abdominal CT-sagittal view shows 15mm deposit in a sub hepatic located blind-ended bowel loop, suggesting appendicolith within the appendix lumen (white arrow).
 
A calcified deposit within the appendix suggestive for appendicolith (white arrow)
 
 
 
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